Individual
MELISSA K RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
42 LAUREL RD E, UDP #1100, STRATFORD, NJ 08084-1354
(856) 566-7036
(856) 566-6108
Mailing address
PO BOX 635, BELLMAWR, NJ 08099-0635
(856) 566-6706
(856) 566-6108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI00382700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8429804
—
NJ
Enumeration date
01/24/2006
Last updated
11/11/2008
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