Provider Demographics
NPI:1487906772
Name:MELIA, FRANK ANTHONY JR
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:ANTHONY
Last Name:MELIA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NORTHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5700
Mailing Address - Country:US
Mailing Address - Phone:615-519-1160
Mailing Address - Fax:
Practice Address - Street 1:1255 NORTHFIELD DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5700
Practice Address - Country:US
Practice Address - Phone:615-519-1160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst