Individual
DR. MELISSA FASTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
708 E 19TH ST, HOUSTON, TX 77008-4488
(713) 526-5055
Mailing address
708 E 19TH ST, HOUSTON, TX 77008-4488
(713) 526-5055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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