Provider Demographics
NPI:1952743619
Name:YOUNGER, MELISSA A (DPM)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:KEIMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2907 TANGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3857
Mailing Address - Country:US
Mailing Address - Phone:610-962-5909
Mailing Address - Fax:
Practice Address - Street 1:2907 TANGLEWOOD LN
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-3857
Practice Address - Country:US
Practice Address - Phone:610-962-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006508213E00000X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist