Individual
MRS. MELISSA JO MCCREADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPE-I
Contact information
Practice address
829 HALBERT ST, MALVERN, AR 72104-2607
(501) 332-4400
(870) 246-4184
Mailing address
829 HALBERT ST, MALVERN, AR 72104-2607
(501) 332-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06-11EI
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227955719
—
AR
Enumeration date
04/08/2008
Last updated
07/12/2024
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