MEDICARE: MELISSA HELD MA, LPC

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	101YP2500X	Professional Counselor	37PC00295600	NJ

General Provider Information

NPI Number	:	1295841344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA HELD MA, LPC

Provider Business Mailing Address
First Line	:	707 ALEXANDER RD
Second Line	:	BLDG 2,SUITE 208
City	:	PRINCETON
State	:	NJ
Zip	:	08540-6331
Country	:	US
Telephone Number	:	609-419-4402
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 ALEXANDER RD
Second Line	:	BLDG 2,SUITE 208
City	:	PRINCETON
State	:	NJ
Zip	:	08540-6331
Country	:	US
Telephone Number	:	609-419-4402
Fax Number	:

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

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