| NPI | 1790137206 |
|---|---|
| Professional Name | MELISSA CASTLE HEATLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 21742) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2023-06-28 |