Provider Demographics
NPI:1790941409
Name:PARNELL, MELISSA (PHD, LPA, HSP-PA)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:PARNELL
Suffix:
Gender:F
Credentials:PHD, LPA, HSP-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-3323
Mailing Address - Country:US
Mailing Address - Phone:919-464-5727
Mailing Address - Fax:
Practice Address - Street 1:538 W MARKET ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3323
Practice Address - Country:US
Practice Address - Phone:919-464-5727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3593103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool