Individual
MELISSA MARIE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
500 BROAD ST STE 606, NEWARK, NJ 07102-3112
(201) 347-1641
Mailing address
500 BROAD ST, NEWARK, NJ 07102-3112
(201) 347-1641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
052153
NY
1041C0700X
Clinical Social Worker
0904017060
VA
1041C0700X
Clinical Social Worker
44SC06460900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01917766
—
NY
Enumeration date
10/21/2005
Last updated
06/29/2026
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