| Mary E Melton, PhD, PC | |
|
1805 Herrington Rd #2 Lawrenceville GA 30043-5649 | |
| (770) 962-1944 | |
| Not Available |
| Full Name | Mary E Melton, PhD, PC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1805 Herrington Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Mary Melton (LICENSED PSYCHOLOGIST CEO) |
| Authorized Official Contact | 7709621944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Melton, PhD, PC 1805 Herrington Rd #2 Lawrenceville GA 30043-5649 | Mary E Melton, PhD, PC 1805 Herrington Rd #2 Lawrenceville GA 30043-5649 Ph: (770) 962-1944 |
| NPI Number | 1861513673 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861513673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1641 (Georgia) | Primary |
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