Witherspoon, Melantha

Witherspoon, Melantha is an individual health care provider with primary practice located at 225 Saint Louis Avenue 35005 , Saint Louis MO 63135-0505. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Witherspoon, Melantha can be contacted via phone (314) 369-7025.

Contact Information

Primary practice address
225 Saint Louis Avenue 35005 Saint Louis MO 63135-0505
Phone: (314) 369-7025
Fax: (314) 786-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2007008766 Missouri
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2011023304 Missouri

Profile Details

NPI number 1184833956
LBN Legal business name Witherspoon, Melantha
Credentials PLPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated May 1st, 2012 - about 14 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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