Provider Demographics
NPI:1225071178
Name:MELTON, DEBBY ANN (MSW)
Entity Type:Individual
Prefix:MS
First Name:DEBBY
Middle Name:ANN
Last Name:MELTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DEBBY
Other - Middle Name:ANN
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2328 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-2063
Mailing Address - Country:US
Mailing Address - Phone:417-782-3757
Mailing Address - Fax:
Practice Address - Street 1:5525 E 51ST ST
Practice Address - Street 2:SUITE #400
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7461
Practice Address - Country:US
Practice Address - Phone:918-388-6219
Practice Address - Fax:918-388-6456
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical