Individual
MELISSA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4161 NW 58TH ST, COCONUT CREEK, FL 33073-4039
(270) 205-6459
Mailing address
4161 NW 58TH ST, COCONUT CREEK, FL 33073-4039
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12970
FL
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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