Provider Demographics
NPI:1235933250
Name:SCHMOKEL, MELISSA SUZANE
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUZANE
Last Name:SCHMOKEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5588 HERRING LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:VA
Mailing Address - Zip Code:22821-2805
Mailing Address - Country:US
Mailing Address - Phone:540-810-8625
Mailing Address - Fax:
Practice Address - Street 1:5588 HERRING LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:VA
Practice Address - Zip Code:22821-2805
Practice Address - Country:US
Practice Address - Phone:540-810-8625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3729175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist