Individual
MELISSA VON DER HEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
44 OLD HIGHWAY 22, SUITE 6, CLINTON, NJ 08809-1376
(908) 420-5301
Mailing address
27 SUMMIT CT, ANNANDALE, NJ 08801-1501
(908) 420-5301
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37F100174900
NJ
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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