Runyon, Melissa K

Runyon, Melissa K is an individual health care provider with primary practice located at 42 Laurel Rd E Udp #1100, Stratford NJ 08084-1354. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Runyon, Melissa K can be contacted via phone (856) 566-7036.

Contact Information

Primary practice address
42 Laurel Rd E Udp #1100 Stratford NJ 08084-1354
Fax: (856) 566-6108
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X SI00382700 New Jersey

Profile Details

NPI number 1396715298
LBN Legal business name Runyon, Melissa K
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 11th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396715298 NPPES
New Jersey MEDICAID 8429804

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