Provider Demographics
NPI:1033271689
Name:PARISER, MELANIE MCCRAE (LPC LICENSED PROFESS)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:MCCRAE
Last Name:PARISER
Suffix:
Gender:F
Credentials:LPC LICENSED PROFESS
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:ANN MCCRAE
Other - Last Name:DEMARTYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:220 CUMBERLAND PARKWAY
Mailing Address - Street 2:SUITE #5
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055
Mailing Address - Country:US
Mailing Address - Phone:717-795-2166
Mailing Address - Fax:
Practice Address - Street 1:220 CUMBERLAND PARKWAY
Practice Address - Street 2:SUITE #5
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055
Practice Address - Country:US
Practice Address - Phone:717-795-2166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000083101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional