Provider Demographics
NPI:1083205884
Name:MCCUE, MELODY JOY (CD (CERTIFIED DOULA))
Entity Type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:JOY
Last Name:MCCUE
Suffix:
Gender:F
Credentials:CD (CERTIFIED DOULA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1040
Mailing Address - Country:US
Mailing Address - Phone:574-253-3250
Mailing Address - Fax:
Practice Address - Street 1:78 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1040
Practice Address - Country:US
Practice Address - Phone:574-253-3250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty