Provider Demographics
NPI:1235713926
Name:MELO-STRAUSS, IRMA C
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:C
Last Name:MELO-STRAUSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 VALENCIA ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1114
Mailing Address - Country:US
Mailing Address - Phone:561-340-9874
Mailing Address - Fax:
Practice Address - Street 1:120 VALENCIA ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1114
Practice Address - Country:US
Practice Address - Phone:561-340-9874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician