Provider Demographics
NPI:1649519182
Name:MELCHIONDO, JANICE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:
Last Name:MELCHIONDO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 DOLINGTON ACRES RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2720
Mailing Address - Country:US
Mailing Address - Phone:215-321-0616
Mailing Address - Fax:215-321-0616
Practice Address - Street 1:1083 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON CROSSING
Practice Address - State:PA
Practice Address - Zip Code:18977-1319
Practice Address - Country:US
Practice Address - Phone:267-981-7933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional