Individual
MELINDA JANE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(317) 272-3330
(317) 272-0807
Mailing address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(317) 272-3330
(317) 272-0807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005501A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000572828
ANTHEM BCBS
IN
Enumeration date
03/31/2008
Last updated
10/22/2008
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