Provider Demographics
NPI:1932742418
Name:MEYER, MELANIE MAY (LMFT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:MAY
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 DENISON DR
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2483
Mailing Address - Country:US
Mailing Address - Phone:203-533-1937
Mailing Address - Fax:
Practice Address - Street 1:263 MAIN ST STE 307
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-2387
Practice Address - Country:US
Practice Address - Phone:203-533-1937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2256106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist