Provider Demographics
NPI:1851588834
Name:SAULS, MELANIE CRYSTAL (MSW, LISW)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:CRYSTAL
Last Name:SAULS
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 N SANDUSKY ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1775
Mailing Address - Country:US
Mailing Address - Phone:740-363-7234
Mailing Address - Fax:740-369-5931
Practice Address - Street 1:94 N SANDUSKY ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1775
Practice Address - Country:US
Practice Address - Phone:740-363-7234
Practice Address - Fax:740-369-5931
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 05000481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1122BASMedicaid