Individual provider · Type 1 NPI

Melody A. Bacon, PhD

Psychologist · San Juan Capistrano, CA

NPI number 1114362399 Active

Practice location

31952 Camino Capistrano, C-23
San Juan Capistrano, CA 92675-3229

Fax (949) 488-9550

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	PSY19555 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1114362399

Melody A. Bacon, PhD's National Provider Identifier is 1114362399, issued on May 1, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on May 1, 2013.