Healthcare Provider Details

I. General information

NPI: 1821988387
Provider Name (Legal Business Name): MELISSA MASCARI MA, LPA, HSP-PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA LITTLEWOOD

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 ALEXANDER HILL CT
HARRISBURG NC
28075-7100
US

IV. Provider business mailing address

4425 ALEXANDER HILL CT
HARRISBURG NC
28075-7100
US

V. Phone/Fax

Practice location:
  • Phone: 704-747-0607
  • Fax:
Mailing address:
  • Phone: 704-747-0607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number6777
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number6777
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: