Most Relevant Information
Provider Data
| NPI Number: | 1003252610 |
| Provider Name: | MELISSA ACQUAVELLA-LIGHTFOOT PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TB0200X |
| Specialty: | Psychologist |
| License Number: | 35S100506000 |
Most Important Dates
| Enumeration Date: | 05/22/2013 |
| Last Updated: | 05/27/2022 |
Provider Practice Location
19 E MAIN ST
MARLTON
NJ
080532172
Practice Location Phone/Fax
| Phone: | 8569859091 |
| Fax: | 8569859092 |
Provider Mailing Location
30 S MAPLE AVE STE 203
MARLTON
NJ
080532002
Provider Mailing Phone/Fax
| Phone: | 8562109600 |
| Fax: |