| Melanie A. Croy | |
|
20 E 9th St Ste B25 Shawnee OK 74801-6993 | |
| (405) 432-0684 | |
| Not Available |
| Full Name | Melanie A. Croy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 E 9th St Ste B25, Shawnee, Oklahoma |
| Authorized Official Name and Position | Melanie A Croy (OWNER) |
| Authorized Official Contact | 4054320687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie A. Croy 20 E 9th St Ste B25 Shawnee OK 74801-6993 Ph: (405) 432-0684 | Melanie A. Croy 20 E 9th St Ste B25 Shawnee OK 74801-6993 Ph: (405) 432-0684 |
| NPI Number | 1982106050 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 03/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982106050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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