Provider Demographics
NPI:1558041004
Name:CEPEDA, MELISA Y
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:Y
Last Name:CEPEDA
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 1:81 S KIMBALL ST # 1
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7529
Mailing Address - Country:US
Mailing Address - Phone:978-876-8739
Mailing Address - Fax:
Practice Address - Street 1:81 S KIMBALL ST # 1
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-7529
Practice Address - Country:US
Practice Address - Phone:978-876-8739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist