Provider Demographics
NPI:1366650004
Name:MELMAN, TSIPORA D (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:TSIPORA
Middle Name:D
Last Name:MELMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 THAMES CRES
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6009
Mailing Address - Country:US
Mailing Address - Phone:215-321-8807
Mailing Address - Fax:
Practice Address - Street 1:4610 E STREET RD
Practice Address - Street 2:INTERNET BEHAVIOR- TREVOSE CORPORATE CENTER
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6612
Practice Address - Country:US
Practice Address - Phone:800-366-0129
Practice Address - Fax:215-638-1299
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0137431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical