Individual
DR. SHANNA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
501 BROAD ST STE 306, ROME, GA 30161-3096
(706) 232-8330
(844) 873-4760
Mailing address
58 WELLINGTON WAY SE, ROME, GA 30161-9417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002843
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434425435A
—
GA
05
—
434425435D
—
GA
Enumeration date
02/09/2007
Last updated
06/08/2023
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