Provider Demographics
NPI:1467779009
Name:HYMAN, MELISSA
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HYMAN
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 1:401 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GLASCO
Mailing Address - State:KS
Mailing Address - Zip Code:67445-9307
Mailing Address - Country:US
Mailing Address - Phone:785-534-9504
Mailing Address - Fax:
Practice Address - Street 1:401 E 2ND ST
Practice Address - Street 2:
Practice Address - City:GLASCO
Practice Address - State:KS
Practice Address - Zip Code:67445-9307
Practice Address - Country:US
Practice Address - Phone:785-534-9504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator