Provider Demographics
NPI:1295987535
Name:DINARDO, MELANIE ANNE (BA)
Entity type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:ANNE
Last Name:DINARDO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 LANTANA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2610
Mailing Address - Country:US
Mailing Address - Phone:561-543-0417
Mailing Address - Fax:
Practice Address - Street 1:2116 LANTANA RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33462-2610
Practice Address - Country:US
Practice Address - Phone:561-543-0417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist