Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JACK MELLOTT, ED.D.
Active Sole ProprietorSchool Psychologist · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1760546147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2006 (19.344495608189 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3598 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3509 S DYLAN STFLAGSTAFF, AZ, 860019137Browse AZ providers · Browse ZIP 86001
- Phone
- 9287744658
- Fax
- 9287744658
- Primary Specialty
-
School Psychologist
103TS0200X
Other School Psychologist Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL EDWARD GERNER | PH.D. | 1336200260 |
| ANSLEM GENE YAZZIE | M.S., M.A. | 1376691899 |
| DR. MARLENE HARTMANN | EDD | 1265658330 |
| JOEL AXLER | — | 1851518021 |
| MS. ELIZABETH MARY MILLS | M. ED. | 1578780532 |
| DR. KERRY KAIN | — | 1114146065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.