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Provider Information for 1427406586


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MELISSA BISH


Sex: Female

NPI: 1427406586
Last Updated: 2016-05-31
Certification Date:

Details

NameValue
NPI1427406586
Enumeration Date2016-05-31
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 213 LOYALHANNA AVE
LATROBE, PA 15650-1725
United States

Phone: 724-771-3557 | Fax:
 
Primary Practice Address 532 W PITTSBURGH ST
GREENSBURG, PA 15601-2239
United States

Phone: 724-832-4478 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalPAPC008965