Provider Demographics
NPI:1396513677
Name:MELKER, SHULA (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:SHULA
Middle Name:
Last Name:MELKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EWING ST STE A5
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2754
Mailing Address - Country:US
Mailing Address - Phone:609-785-1045
Mailing Address - Fax:
Practice Address - Street 1:601 EWING ST STE A5
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2754
Practice Address - Country:US
Practice Address - Phone:609-785-1045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-15
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01082300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health