MEDICARE: MRS. MELISSA A REITNOUR M.A.

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	231H00000X	Audiologist		PA

General Provider Information

NPI Number	:	1497971832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA A REITNOUR M.A.

Provider Business Mailing Address
First Line	:	2023 E HIGH ST
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-3211
Country	:	US
Telephone Number	:	610-935-7756
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 MAPLE AVE
Second Line	:	SUITE 1
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4434
Country	:	US
Telephone Number	:	610-692-0800
Fax Number	:	610-692-8299

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	12/22/2016

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