Provider Demographics
NPI:1306422324
Name:HATTER, MELODY S (LCSW)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:S
Last Name:HATTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 MARBLE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3430
Mailing Address - Country:US
Mailing Address - Phone:972-741-5359
Mailing Address - Fax:
Practice Address - Street 1:2218 MARBLE FALLS DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3430
Practice Address - Country:US
Practice Address - Phone:972-741-5359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX605101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical