Provider Demographics
NPI:1225507924
Name:LOY, MELISSA A (MED, LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:LOY
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S ARCH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3519
Mailing Address - Country:US
Mailing Address - Phone:724-322-5178
Mailing Address - Fax:724-603-2503
Practice Address - Street 1:208 S ARCH ST STE 5
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3519
Practice Address - Country:US
Practice Address - Phone:724-322-5178
Practice Address - Fax:724-603-2503
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010843101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional