MEDICARE: MELISSA DICK-PANZARELLA

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	222Q00000X	Developmental Therapist

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	:	1376997700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA DICK-PANZARELLA

Provider Business Mailing Address
First Line	:	5917 WEDGEWOOD VILLAGE CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5917 WEDGEWOOD VILLAGE CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7368
Country	:	US
Telephone Number	:	718-207-6715
Fax Number	:

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

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	03/17/2022

Similar Medicare Providers

1164386132 — ANGELA KRISTOLLARI
Practice Location Address:

5959 WEDGEWOOD VILLAGE CIR
LAKE WORTH, FL
33463-7368

Practice Phone: 561-906-9832
Practice Fax:

1134160153 — SALEEM IQBAL QURESHI MD
Practice Location Address:

844 GRANDVIEW DR , CRYSTAL LAKE
CRYSTAL LAKE, IL
60014-7368

Practice Phone: 309-344-3161
Practice Fax:

1619052461 — DR. PATRICK CHARLES HAYES MD
Practice Location Address:

2802 HODGES ST
LAKE CHARLES, LA
70601-7368

Practice Phone: 337-419-1873
Practice Fax: 337-656-2848

1831212943 — MRS. IVA K. CONDE APRN, PMHNP-BC
Practice Location Address:

2802 HODGES ST
LAKE CHARLES, LA
70601-7368

Practice Phone: 337-419-1873
Practice Fax:

1053743757 — MR. BRETT MICHAEL CHAMBLEY M.A LPC
Practice Location Address:

2802 HODGES ST
LAKE CHARLES, LA
70601-7368

Practice Phone: 337-419-1873
Practice Fax:

1346644606 — ELITE MEDICAL WELLNESS LLC
Practice Location Address:

2802 HODGES ST
LAKE CHARLES, LA
70601-7368

Practice Phone: 337-419-1873
Practice Fax: 337-656-2848

Directions to “ MELISSA DICK-PANZARELLA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.