Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1760606263 |
---|---|
Provider Name | Dr. Melissa Mary Roberts |
First Address | Scotch Plains, NJ 07076-2928 |
Second Address | Scotch Plains, NJ 07076-2928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |