Provider Demographics
NPI:1821558487
Name:DOYLE, MELISSA STURGIS
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:STURGIS
Last Name:DOYLE
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 1:400 WHEALTON RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2886
Mailing Address - Country:US
Mailing Address - Phone:757-788-1125
Mailing Address - Fax:757-282-5963
Practice Address - Street 1:610 THIMBLE SHOALS BLVD STE 303B
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4503
Practice Address - Country:US
Practice Address - Phone:757-240-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health