Most Relevant Information
Provider Data
| NPI Number: | 1003045527 |
| Provider Name: | MELISSA MAIN UDELL PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY20926 |
Most Important Dates
| Enumeration Date: | 07/06/2009 |
| Last Updated: | 02/21/2014 |
Provider Practice Location
988 S FAIR OAKS AVE
PASADENA
CA
911052626
Practice Location Phone/Fax
| Phone: | 6265827980 |
| Fax: |
Provider Mailing Location
PO BOX 411014
LOS ANGELES
CA
900418014
Provider Mailing Phone/Fax
| Phone: | 6268276199 |
| Fax: |