Provider Demographics
NPI:1285969204
Name:MOYER, MELISSA LYNNE (DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LYNNE
Last Name:MOYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-1302
Mailing Address - Country:US
Mailing Address - Phone:814-954-0280
Mailing Address - Fax:
Practice Address - Street 1:218 W HIGH ST
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-1302
Practice Address - Country:US
Practice Address - Phone:814-954-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor