Provider Demographics
NPI:1689881021
Name:TESTERMAN, MELISSA DAWN (LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:DAWN
Last Name:TESTERMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 DAWSON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-8871
Mailing Address - Country:US
Mailing Address - Phone:270-498-2281
Mailing Address - Fax:
Practice Address - Street 1:2845 DAWSON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8871
Practice Address - Country:US
Practice Address - Phone:270-498-2281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3063101YP2500X
KY104753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional