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Jennifer Melton

Developmental Therapist in Indianapolis, IN. Individual provider (NPI-1).

NPI number1861982142
StatusActive
Last updated in NPPESMay 13, 2018

Details

NPI
1861982142
Entity type
Individual (NPI-1)
Name
Jennifer Melton
Sex
Female
Sole proprietor
Yes
Enumeration date
May 13, 2018
Last updated
May 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

6330 E 75th St Ste 206
Indianapolis, IN 46250-2700

Phone 317-363-3798

Mailing address

17823 Aviara Dr
Noblesville, IN 46062-7715

Phone 317-363-3798

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