MEDICARE: MS. MELISSA M BROWN PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS016565	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467690313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA M BROWN PSYD

Provider Business Mailing Address
First Line	:	764 CORPORATE CIR
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-2359
Country	:	US
Telephone Number	:	717-828-3111
Fax Number	:	223-747-1988

Provider Business Practice Location Address
First Line	:	764 CORPORATE CIR
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-2359
Country	:	US
Telephone Number	:	717-828-3111
Fax Number	:	223-747-1988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	05/28/2026

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