Provider Demographics
NPI:1811024557
Name:MELBER, LAURA P (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:P
Last Name:MELBER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:SCOTRUN
Mailing Address - State:PA
Mailing Address - Zip Code:18355-0325
Mailing Address - Country:US
Mailing Address - Phone:570-688-2919
Mailing Address - Fax:570-688-0022
Practice Address - Street 1:408 SCOTRUN AVE
Practice Address - Street 2:
Practice Address - City:SCOTRUN
Practice Address - State:PA
Practice Address - Zip Code:18355-9663
Practice Address - Country:US
Practice Address - Phone:570-688-2919
Practice Address - Fax:570-688-2919
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007511L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist