Individual
MELANIE CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18W375 14TH ST, LOMBARD, IL 60148-4103
(630) 516-6540
Mailing address
255 W VERMONT ST, VILLA PARK, IL 60181-1943
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C621-5419-2899
—
IL
Enumeration date
09/08/2022
Last updated
09/08/2022
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