Individual
MELISSA ANGIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
84A PARK PL, EAST HAMPTON, NY 11937-7402
(631) 560-3686
(631) 604-2263
Mailing address
PO BOX 503, EAST HAMPTON, NY 11937-0994
(631) 560-3686
(631) 604-2263
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
014631-1
NY
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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