Individual
MICHELLE MARIE MISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/PPS
Contact information
Practice address
1500 LIZZIE ST, SAN LUIS OBISPO, CA 93401-3062
(805) 549-1200
Mailing address
1500 LIZZIE ST, SAN LUIS OBISPO, CA 93401-3062
(805) 549-1200
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210176088
CA
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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