Provider Demographics
NPI:1912915422
Name:DILK, MELODY N (PHD JD)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:N
Last Name:DILK
Suffix:
Gender:F
Credentials:PHD JD
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Mailing Address - Street 1:10293 N MERIDIAN ST
Mailing Address - Street 2:SUITE 375
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1123
Mailing Address - Country:US
Mailing Address - Phone:317-581-2288
Mailing Address - Fax:317-581-2295
Practice Address - Street 1:10293 N MERIDIAN ST
Practice Address - Street 2:SUITE 375
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290-1123
Practice Address - Country:US
Practice Address - Phone:317-581-2288
Practice Address - Fax:317-581-2295
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN20040941103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist