Individual
DR. MELISSA MANDL-MASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
461 W HURON ST, SUITE 100, PONTIAC, MI 48341-1601
(248) 456-1991
Mailing address
1527 MAYFIELD DR., ROYAL OAK, MI 48067
(248) 506-3036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014863
MI
103TS0200X
School Psychologist
CC7C3800099544
MI
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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