| Doctor Name: | MS. MELANIE MARIE BASSA |
| NPI Number: | 1043431091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 950 |
| Business Practice Address: | 40 12th St Ste 222 Mclain Building Wheeling, WV - 260033279 |
| Business Phone Number: | 3042320190 |
| Business Fax Number: | |
| Mailing Address: | 40 12th St Ste 222, Mclain Building WHEELING |
| State: | WV |
| Postal Code: | 260033279 |
| Phone Number: | 3042320190 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |