Individual
CHANTAL MELOSCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-6722
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005640
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810005640
VA
Other
Enumeration date
03/28/2016
Last updated
03/21/2017
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