Melton Psychology Group, LLC
Psychologist, Clinical in Phoenix, AZ. Organization (NPI-2).
NPI number1063953404
StatusActive
Last updated in NPPESMar 18, 2017
Details
- NPI
- 1063953404
- Entity type
- Organization (NPI-2)
- Legal business name
- Melton Psychology Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 18, 2017
- Last updated
- Mar 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4459 | AZ | Yes |
Practice location
800 N 1st AvePhoenix, AZ 85003-1402
Phone 602-832-1428
Mailing address
800 N 1st AvePhoenix, AZ 85003-1402
Phone 602-832-1428
Authorized official
Michelle L Melton
Clinical Psychologist
6028321428
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