Provider Demographics
NPI:1073785630
Name:MELTON, TRANI AND ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:MELTON, TRANI AND ASSOCIATES, P.C.
Other - Org Name:KIMELTON
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:INGRID
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-392-5666
Mailing Address - Street 1:5709 5TH ST
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1917
Mailing Address - Country:US
Mailing Address - Phone:281-392-5666
Mailing Address - Fax:281-391-5050
Practice Address - Street 1:5709 5TH ST
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1917
Practice Address - Country:US
Practice Address - Phone:281-392-5666
Practice Address - Fax:281-391-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2 2690103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000JW14OtherBLUE CROSS BLUE SHIELD