Provider Demographics
NPI:1770555005
Name:DEMPSEY, MELISSA ANNE (MS)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11143 PARKVIEW PLAZA DR STE 216
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1728
Mailing Address - Country:US
Mailing Address - Phone:260-266-9225
Mailing Address - Fax:260-266-9169
Practice Address - Street 1:11143 PARKVIEW PLAZA DR STE 216
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-1728
Practice Address - Country:US
Practice Address - Phone:260-266-9225
Practice Address - Fax:260-266-9169
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS