Provider Demographics
NPI:1376650945
Name:MELMAN, STEVEN (MA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:MELMAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:MELMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:12870 HILLCREST PLAZA DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:180-060-3921
Mailing Address - Fax:214-655-3251
Practice Address - Street 1:12870 HILLCREST PLAZA DR SUITE 212
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248
Practice Address - Country:US
Practice Address - Phone:180-060-3921
Practice Address - Fax:214-655-3251
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 9441101YM0800X
TX106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist