Provider Demographics
NPI:1427272715
Name:HAMPTON, MELISSA ANN (LMFT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44110 63RD ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-7567
Mailing Address - Country:US
Mailing Address - Phone:661-917-4942
Mailing Address - Fax:
Practice Address - Street 1:2689 SIERRA HWY
Practice Address - Street 2:BOX 1359
Practice Address - City:ROSAMOND
Practice Address - State:CA
Practice Address - Zip Code:93560
Practice Address - Country:US
Practice Address - Phone:661-256-7208
Practice Address - Fax:661-256-7209
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31052106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist