Individual
MISS MELISSA A GENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBS
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(215) 487-1330
Mailing address
4270 MORRIS RD, HATBORO, PA 19040-2513
(267) 407-8282
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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