Healthcare Provider Details

I. General information

NPI: 1639672801
Provider Name (Legal Business Name): MELISSA DANNER SCHOOL PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2107 LIBERTY ST
CHESAPEAKE VA
23324-3527
US

IV. Provider business mailing address

1421 KRISTINA WAY
CHESAPEAKE VA
23320-8917
US

V. Phone/Fax

Practice location:
  • Phone: 757-494-7600
  • Fax:
Mailing address:
  • Phone: 757-494-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: