Doctor Name: | MS. MELANIE DESROSIER |
NPI Number: | 1164897716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LIMITED PERMIT |
Business Practice Address: | 137 N Chestnut St New Paltz, NY - 125611023 |
Business Phone Number: | 8454190850 |
Business Fax Number: | 8454190852 |
Mailing Address: | 360 Main St Apt 4, POUGHKEEPSIE |
State: | NY |
Postal Code: | 126017829 |
Phone Number: | 7742308135 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2015 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LIMITED PERMIT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |