Individual
MELINDA C WALLPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20042531A
IN
103TH0100X
Health Service Psychologist
Primary
20042531A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201040400
—
IN
Enumeration date
10/18/2011
Last updated
08/02/2018
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