| Doctor Name: | MRS. MELISSA DIANE MICHEL |
| NPI Number: | 1902114010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSCP, LPC, NCC |
| License Number: | 07623590 |
| Business Practice Address: | 1580 Mclaughlin Run Rd Suite 214 Upper Saint Clair, PA - 152413100 |
| Business Phone Number: | 4124072900 |
| Business Fax Number: | 4122911214 |
| Mailing Address: | 1580 Mclaughlin Run Rd, Suite 214 UPPER SAINT CLAIR |
| State: | PA |
| Postal Code: | 152413100 |
| Phone Number: | 4124072900 |
| Fax Number: | 4122911214 |
| NPI Enumeration Date: | 09/23/2010 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 07623590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |