Provider Demographics
NPI:1275001703
Name:MELTON, HSIANG-YUN SYLVIA
Entity Type:Individual
Prefix:MRS
First Name:HSIANG-YUN
Middle Name:SYLVIA
Last Name:MELTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E HIGHWAY 89
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-7950
Mailing Address - Country:US
Mailing Address - Phone:501-425-9120
Mailing Address - Fax:
Practice Address - Street 1:909 W MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-4025
Practice Address - Country:US
Practice Address - Phone:603-315-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician