Doctor Name: | MELISSA WALTERS |
NPI Number: | 1730578071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 4003 |
Business Practice Address: | 9940 Alvaton Rd Alvaton, KY - 421229657 |
Business Phone Number: | 2707466600 |
Business Fax Number: | |
Mailing Address: | 9940 Alvaton Road, ALVATON |
State: | KY |
Postal Code: | 42122 |
Phone Number: | 2702027232 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |