Individual
PROF. MELISSA R MIGNOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 VISION PARK BLVD, SUITE 250, SHENANDOAH, TX 77384-3002
(281) 528-4226
(281) 419-0921
Mailing address
6541 CASCADE DR, WACO, TX 76712-4302
(405) 612-8574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36831
TX
Other
Enumeration date
02/22/2008
Last updated
06/15/2015
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