Provider Demographics
NPI:1700289204
Name:DASCANIO, MELODY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:DASCANIO
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 TUSCANY ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:FINLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15332-4024
Mailing Address - Country:US
Mailing Address - Phone:412-983-4636
Mailing Address - Fax:
Practice Address - Street 1:113 TUSCANY ESTATES DR
Practice Address - Street 2:
Practice Address - City:FINLEYVILLE
Practice Address - State:PA
Practice Address - Zip Code:15332-4024
Practice Address - Country:US
Practice Address - Phone:412-983-4636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional