| Doctor Name: | MELISSA G HART |
| NPI Number: | 1275507923 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | L1739 |
| Business Practice Address: | 4909 S Coast Hwy South Beach, OR - 973669648 |
| Business Phone Number: | 5412655960 |
| Business Fax Number: | 5415746252 |
| Mailing Address: | 6815 Sw Galley Ave, LINCOLN CITY |
| State: | OR |
| Postal Code: | 973671065 |
| Phone Number: | 5419942458 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L1739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |