Individual
DR. MELISSA MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
28 S 5TH ST, GENEVA, IL 60134-2111
(847) 287-0916
Mailing address
863 RAVINIA CT, BATAVIA, IL 60510-3213
(847) 287-0916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-008253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04515143
BCBS#
IL
Enumeration date
06/18/2007
Last updated
11/10/2020
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