Wall, Melissa Jean

Wall, Melissa Jean is an individual health care provider with primary practice located at 111 E 12Th St , Ada OK 74820-6501. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wall, Melissa Jean can be contacted via phone (580) 436-2690.

Contact Information

Primary practice address
111 E 12Th St Ada OK 74820-6501
Phone: (580) 436-2690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1477755320
LBN Legal business name Wall, Melissa Jean
Credentials BHRS II
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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