Doctor Name: | MELHANIE M DAMIRON |
NPI Number: | 1003125212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 865 E 4th St Bethlehem, PA - 180151935 |
Business Phone Number: | 4842219136 |
Business Fax Number: | 4842219130 |
Mailing Address: | 2030 W Tilghman St, Suite 105b ALLENTOWN |
State: | PA |
Postal Code: | 181044354 |
Phone Number: | 4842219136 |
Fax Number: | 4842219130 |
NPI Enumeration Date: | 10/05/2010 |
NPI Last Update Date: | 10/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |