Provider Demographics
NPI:1669347597
Name:CANTRELL, MELVIN NEAL JR
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:NEAL
Last Name:CANTRELL
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 1:919 ORRIN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2277
Mailing Address - Country:US
Mailing Address - Phone:330-926-7851
Mailing Address - Fax:
Practice Address - Street 1:919 ORRIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2277
Practice Address - Country:US
Practice Address - Phone:330-926-7851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator