Provider Demographics
NPI:1013101062
Name:CARSWELL, MELISSA ANN (PSYD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:CARSWELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8555 16TH STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-562-7200
Mailing Address - Fax:301-563-7199
Practice Address - Street 1:5454 WISCONSIN AVENUE
Practice Address - Street 2:SUITE 1720
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-562-7200
Practice Address - Fax:301-951-6490
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist