Parrish, Melissa Stackpole

Parrish, Melissa Stackpole is an individual health care provider with primary practice located at 15-01 Broadway , Fair Lawn NJ 07410-6003. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Parrish, Melissa Stackpole can be contacted via phone (833) 937-2724.

Contact Information

Primary practice address
15-01 Broadway Fair Lawn NJ 07410-6003
Phone: (833) 937-2724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457604050
LBN Legal business name Parrish, Melissa Stackpole
Credentials MA, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2012
Last updated Jun 10th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1457604050 NPPES
New Jersey Other 0023701 AGENCY MEDICAID PROVIDER NUMBER

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