Provider Demographics
NPI:1952595902
Name:PRITZ, MELINDA ELIZABETH (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:ELIZABETH
Last Name:PRITZ
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 BRADLEY STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06422-1125
Mailing Address - Country:US
Mailing Address - Phone:203-234-1340
Mailing Address - Fax:203-234-2389
Practice Address - Street 1:83 BRADLEY ST
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1413
Practice Address - Country:US
Practice Address - Phone:203-234-1340
Practice Address - Fax:203-234-2389
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001428106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist