Provider Demographics
NPI:1447502232
Name:CONTRERAS-BYRD, MELINDA (PSYD)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:
Last Name:CONTRERAS-BYRD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:654 STATE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1412
Mailing Address - Country:US
Mailing Address - Phone:609-356-0599
Mailing Address - Fax:609-279-1815
Practice Address - Street 1:654 STATE RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1412
Practice Address - Country:US
Practice Address - Phone:609-356-0599
Practice Address - Fax:609-279-1815
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSIO286103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSI0286OtherBOARD OF PSYCHOLOGICAL EXAMINERS