Most Relevant Information
Provider Data
| NPI Number: | 1003355876 |
| Provider Name: | MELISSA WAXMAN PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | P11806 |
Most Important Dates
| Enumeration Date: | 02/14/2017 |
| Last Updated: | 01/13/2023 |
Provider Practice Location
820 BEAR TAVERN RD
EWING
NJ
086281021
Practice Location Phone/Fax
| Phone: | 8554388331 |
| Fax: |
Provider Mailing Location
396 WASHINGTON ST # 266
WELLESLEY HILLS
MA
024816209
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |