Mellinger, Traci
Mellinger, Traci is an individual health care provider with primary practice located at 1440 Russell Rd , Paoli PA 19301-1236. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mellinger, Traci can be contacted via phone (610) 644-6464.Contact Information
Primary practice address
1440 Russell Rd
Paoli PA 19301-1236
Phone: (610) 644-6464
Fax: (610) 644-4066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1679753479 |
|---|---|
| LBN Legal business name | Mellinger, Traci |
| Credentials | MSED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Nov 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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