Individual
DR. MELISSA M. ERTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(646) 980-7545
Mailing address
8 STUYVESANT OVAL APT 8A, NEW YORK, NY 10009-2435
(608) 640-6661
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025239
NY
103TC0700X
Clinical Psychologist
PS019653
PA
Other
Enumeration date
08/15/2022
Last updated
10/27/2022
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