Individual
HENRY S. MELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
851 FREMONT AVE, SUITE 107, LOS ALTOS, CA 94024-5698
(650) 989-1256
(650) 329-1579
Mailing address
1488 HAMILTON AVE, PALO ALTO, CA 94301-3124
(650) 714-4675
(650) 329-1579
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 20759
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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