Provider Demographics
NPI:1831280387
Name:HARRIS, MELANIE JEAN (MSW)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:JEAN
Last Name:HARRIS
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 1:3833 N MERIDIAN ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4039
Mailing Address - Country:US
Mailing Address - Phone:317-927-6446
Mailing Address - Fax:317-927-6447
Practice Address - Street 1:3833 N MERIDIAN ST
Practice Address - Street 2:SUITE 120
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-4039
Practice Address - Country:US
Practice Address - Phone:317-927-6446
Practice Address - Fax:317-927-6447
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker