Provider Demographics
NPI:1447606033
Name:MCHUGH DILLON, MELISSA (PHD, BCBA)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:MCHUGH DILLON
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 COTTONWOOD CREEK TRL STE 510
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2689
Mailing Address - Country:US
Mailing Address - Phone:512-528-3131
Mailing Address - Fax:512-598-9142
Practice Address - Street 1:1210 COTTOWOOD CREEK TRL
Practice Address - Street 2:SUITE 510
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-528-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37910103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical