Individual
MELISSA A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 474-2296
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 476-0409
(812) 476-1016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005508A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000835309
BLUE CROSS BLUE SHIELD
IN
01
—
000000835902
BLUE CROSS BLUE SHIELD
IN
05
—
201189900
—
IN
Enumeration date
07/29/2013
Last updated
05/26/2016
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