Individual
MELANIE TEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1460 LIVINGSTON AVE, PRINCETON HOUSE BEHAVIORAL HEALTH, NORTH BRUNSWICK, NJ 08902-1873
(732) 729-3600
(732) 435-0222
Mailing address
3 BENEDEK RD, PRINCETON, NJ 08540-2229
(609) 921-2113
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04223000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1391101
—
NJ
Enumeration date
10/12/2006
Last updated
03/16/2009
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