Provider Demographics
NPI:1851115273
Name:CATALANO, MELISSA MARIE (MA, EDS, NCSP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:CATALANO
Suffix:
Gender:F
Credentials:MA, EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BOOTH ST
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5618
Mailing Address - Country:US
Mailing Address - Phone:410-996-5401
Mailing Address - Fax:
Practice Address - Street 1:500 HOPEWELL RD
Practice Address - Street 2:
Practice Address - City:RISING SUN
Practice Address - State:MD
Practice Address - Zip Code:21911-2134
Practice Address - Country:US
Practice Address - Phone:410-658-5925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCER-187316-Y7J4T8103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool