Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003125212 |
---|---|
Provider Name | Melhanie M Damiron |
First Address | Allentown, PA 18104-4354 |
Second Address | Bethlehem, PA 18015-1935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2010 |
Last Update Date | 05/10/2010 |