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Contact Information

MELISA FORMAN, A.T.R., L.P.C.
350 S MAIN ST
SUITE #213
DOYLESTOWN, PA18901-4871
 Phone: 215-345-8828
 Fax: 215-348-3645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for MELISA FORMAN · (Female)

NPI Number 1265761258
Status Active
Credentials A.T.R., L.P.C.
Entity Individual
Enumeration date 12/22/2009
Last updated 12/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 08-011
  • CT License # 001617
  • PA License # 007920
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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