Provider Demographics
NPI:1346547254
Name:CRIPPS, MELINDA KAY (MSW)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:KAY
Last Name:CRIPPS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6531
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-0531
Mailing Address - Country:US
Mailing Address - Phone:816-279-3351
Mailing Address - Fax:816-279-3311
Practice Address - Street 1:2746 FAIRLEIGH TER
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2870
Practice Address - Country:US
Practice Address - Phone:816-279-3351
Practice Address - Fax:816-279-3311
Is Sole Proprietor?:No
Enumeration Date:2011-02-12
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor