| NPI | 1215321104 |
|---|---|
| Former Name | MEREDITH DEANNA MELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX S1438) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AR E12233) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2021-04-13 |