Provider Demographics
NPI:1033225313
Name:MARCARIO, MELISSA R (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:R
Last Name:MARCARIO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4284 ROUTE 8
Mailing Address - Street 2:STE 308
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1439
Mailing Address - Country:US
Mailing Address - Phone:267-262-9876
Mailing Address - Fax:
Practice Address - Street 1:4284 ROUTE 8 STE 308
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1439
Practice Address - Country:US
Practice Address - Phone:267-262-9876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPSO15482103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical