Provider Demographics
NPI:1508012436
Name:SPURLOCK, MELINDA M (MSW)
Entity Type:Individual
Prefix:MISS
First Name:MELINDA
Middle Name:M
Last Name:SPURLOCK
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 1:914 IDLEWILD CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-3634
Mailing Address - Country:US
Mailing Address - Phone:859-252-0054
Mailing Address - Fax:
Practice Address - Street 1:914 IDLEWILD CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-3634
Practice Address - Country:US
Practice Address - Phone:859-252-0054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator