Individual
DR. ALBERT MELLINKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
675 S ARROYO PKWY STE 420, PASADENA, CA 91105-3215
(925) 282-1778
Mailing address
675 S ARROYO PKWY STE 420, PASADENA, CA 91105-3215
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EG935A
MEDICARE PTAN
CA
Enumeration date
01/06/2009
Last updated
07/03/2024
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