Melissa Dessereau LLC
Marriage & Family Therapist in Philadelphia, PA. Organization (NPI-2).
NPI number1801320262
StatusActive
Last updated in NPPESApr 12, 2017
Details
- NPI
- 1801320262
- Entity type
- Organization (NPI-2)
- Legal business name
- Melissa Dessereau LLC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2017
- Last updated
- Apr 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MF000928 | PA | Yes |
Practice location
255 S 17th StPhiladelphia, PA 19103-6231
Phone 267-222-0851
Mailing address
434 Longfellow RdWyncote, PA 19095-1913
Phone 267-222-0851
Authorized official
Melissa Slaboda Dessereau
Psychotherapist
2672220851
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