Provider Demographics
NPI:1447064720
Name:STUDIO MELISSA
Entity type:Organization
Organization Name:STUDIO MELISSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRICHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUBECK
Authorized Official - Suffix:
Authorized Official - Credentials:HHP
Authorized Official - Phone:440-552-2118
Mailing Address - Street 1:24180 LORAIN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2178
Mailing Address - Country:US
Mailing Address - Phone:440-552-2118
Mailing Address - Fax:
Practice Address - Street 1:24180 LORAIN RD
Practice Address - Street 2:STUDIO 108
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2178
Practice Address - Country:US
Practice Address - Phone:440-552-2118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STUDIO MELISSA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies