Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 002653 | CT |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 015249 | NY |
NPI | 1063746352 |
---|---|
Provider Name | Dr. Melissa Sarah Starr |
First Address | Rivervale, NJ 07675-5932 |
Second Address | Greenwich, CT 06831-5331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2009 |
Last Update Date | 20/09/2009 |