Provider Demographics
NPI:1972526234
Name:EASH, MELINDA MARGARET (MS)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:MARGARET
Last Name:EASH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:MARGARET
Other - Last Name:MCCAFFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2151 LINGLESTOWN ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110
Mailing Address - Country:US
Mailing Address - Phone:717-540-1313
Mailing Address - Fax:717-540-1416
Practice Address - Street 1:2151 LINGLESTOWN ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110
Practice Address - Country:US
Practice Address - Phone:717-540-1313
Practice Address - Fax:717-540-1416
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008018L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02130600OtherCAPITAL BLUE CROSS
PA796809OtherHIGHMARK BLUE SHIELD