Provider Demographics
NPI:1366692386
Name:HUBSHER, MELISSA SHARI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SHARI
Last Name:HUBSHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HUBSHER FREEDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:1701 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1003
Mailing Address - Country:US
Mailing Address - Phone:215-750-4991
Mailing Address - Fax:
Practice Address - Street 1:1701 LANGHORNE NEWTOWN RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1003
Practice Address - Country:US
Practice Address - Phone:215-750-4991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-008178-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical