| Doctor Name: | MRS. MELINDA OTEY |
| NPI Number: | 1013325299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0904008209 |
| Business Practice Address: | 5335 Peters Creek Rd Nw Suite 1 Roanoke, VA - 240193849 |
| Business Phone Number: | 5403449501 |
| Business Fax Number: | 5403447162 |
| Mailing Address: | 5335 Peters Creek Rd Nw, Suite 1 ROANOKE |
| State: | VA |
| Postal Code: | 240193849 |
| Phone Number: | 5403449501 |
| Fax Number: | 5403447162 |
| NPI Enumeration Date: | 07/31/2014 |
| NPI Last Update Date: | 07/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904008209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |