Melissa Bangle, PHD
Individual provider Active NPI Psychologist · Martinsburg, WV
NPI 1003415258 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1003415258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 510 Butler Ave
Martinsburg, WV 25405-9991 - Phone
- (304) 263-0811
- Fax
- (304) 579-2663
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
510 Butler Ave
Martinsburg, WV 25405-9991
Mailing address
510 Butler Ave
Martinsburg, WV 25405-9991
Phone (304) 263-0811
Other providers in Martinsburg, WV
- Kathy Lynn Baldwin
- Thomas A Baldwin
- Josephine N Ball
- Balm Center
- Annie Lee Bandy
- Barri Banzhoff
- Wendy Baracka
- Kayla Barahona
- Sharon Barahona
- Carrie Barger
All providers in Martinsburg, WV · Psychologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.