Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0117812 | VT |
NPI | 1043424799 |
---|---|
Provider Name | Dr. Melissa Lynn Dengler |
First Address | Meadville, PA 16335-3428 |
Second Address | Meadville, PA 16335-3428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 11/04/2019 |