Provider Demographics
NPI:1710994272
Name:CARD, MELISSA A (BA PYSCH)
Entity Type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:A
Last Name:CARD
Suffix:
Gender:F
Credentials:BA PYSCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:51 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07732-1901
Mailing Address - Country:US
Mailing Address - Phone:732-291-9866
Mailing Address - Fax:732-345-2030
Practice Address - Street 1:48 E FRONT ST
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1823
Practice Address - Country:US
Practice Address - Phone:732-450-2900
Practice Address - Fax:732-345-2030
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health