Provider Demographics
NPI:1003200163
Name:HICKEY, MELISSA GAIL (MS)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:GAIL
Last Name:HICKEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 GREEN TREE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-8409
Mailing Address - Country:US
Mailing Address - Phone:610-308-0808
Mailing Address - Fax:
Practice Address - Street 1:900 PHILADELPHIA PIKE
Practice Address - Street 2:TRINITY HEALING CENTER, SUITE C
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809
Practice Address - Country:US
Practice Address - Phone:302-260-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor