Dr. Melissa Acquavella-Lightfoot, Psy.D.
Psychologist, Cognitive & Behavioral in Marlton, NJ. Individual provider (NPI-1).
NPI number1003252610
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1003252610
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melissa Acquavella-Lightfoot
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2013
- Certification date
- May 27, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | 35S100506000 | NJ | Yes |
Practice location
19 E Main StMarlton, NJ 08053-2172
Phone 856-985-9091 · Fax 856-985-9092
Mailing address
30 S Maple Ave Ste 203Marlton, NJ 08053-2002
Phone 856-210-9600
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