National Provider Identifier

Melissa Petronella

Melissa Petronella is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Orchard Park, NY and a listed phone number of (716) 831-2700.

NPI 1639535578Orchard Park, NYMental Health Counselor

Profile Overview

NPI
1639535578
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 07, 2016
Last Updated
October 03, 2023

Practice Location

  • 3345 Southwestern Blvd
  • Orchard Park, NY 14127-1506

Phone: (716) 831-2700

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1639535578
Entity Type
Individual
Last Name
Petronella
First Name
Melissa
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
3345 Southwestern Blvd
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1506
Practice Country
US
Practice Phone
(716) 831-2700
Enumeration Date
January 07, 2016
Last Updated
October 03, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 03, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)