Provider Information
Last Updated : Jul 29 2024 11:07 AM
Melissa Stidham
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Stidham |
First Name Melissa |
Address 7191 N Ingram Ave Ste 101 |
State CA |
Zip Code 93650 |
Phone (559)492-7900 |
Hours Mon - Fri 8:00 AM - 6:00 PM |
Gender F |
Title M.S. |
Physician ID 914141 |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1497262075 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB46107 |
Email info@calautismcenter.org |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |