Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CW016415 | PA |
NPI | 1003211335 |
---|---|
Provider Name | Melissa B Reber |
First Address | Reading, PA 19612-3614 |
Second Address | Reading, PA 19602-1337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2014 |
Last Update Date | 29/10/2014 |