Melissa A. Booth
Community/Behavioral Health Agency in Wintersville, OH(View on Map)
Full Name
Melissa Ann Booth
NPI Number
1316541402
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/30/2020
Specialties
(Taxonomies)Name
Code
251S00000X
385HR2060X
172A00000X
253Z00000X
3747P1801X
251X00000X
Primary Taxonomy
Yes
No
No
No
No
No
Licenses
State
Ohio
Ohio
Ohio
License Number
DODD4101475
4101475
RT055489
Contact
Information
Purpose
Mailing
Location
Address
326 PATTON AVE
326 PATTON AVE
City
Wintersville
Wintersville
State
OH
OH
Postal Code
43953-3848
43953-3848
Country
US
US
Telephone Number
(740) 317-7734
(740) 317-7734
Identifiers
Identifier
0058808
Identifier State
OH
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/20/2022