Melody Bacon, PH.D

NPI 1114362399 · on the registry since 2013

Practice

Address: 31952 Camino Capistrano
C-23
San Juan Capistrano, CA 92675
Phone: (949) 488-8990
Fax: (949) 488-9550
Organisation at this address: Yass Adult Daycare
Mehrdokht Mehrvarzi Dental Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Psychologist
103T00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California