Provider Demographics
NPI:1851160741
Name:BROBST, MELISSA (MA, MFT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:BROBST
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 E FORREST AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361-1427
Mailing Address - Country:US
Mailing Address - Phone:717-814-9235
Mailing Address - Fax:
Practice Address - Street 1:74 E FORREST AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1427
Practice Address - Country:US
Practice Address - Phone:717-814-9235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional