Provider Demographics
NPI:1538117510
Name:HIMELEIN, MELISSA J (PHD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:J
Last Name:HIMELEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 BILTMORE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4602
Mailing Address - Country:US
Mailing Address - Phone:828-285-8881
Mailing Address - Fax:828-258-8887
Practice Address - Street 1:520 BILTMORE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4602
Practice Address - Country:US
Practice Address - Phone:828-285-8881
Practice Address - Fax:828-258-8887
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1459103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0422GOtherBCBS PROVIDER NUMBER