National Provider Identifier Database

MELINDA D WIEDEMANN, BS – NPI #1285915595
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

MELINDA D WIEDEMANN, BS
211 4TH STREET
BROOKINGS, SD57006
Phone: 605-697-2850
Fax: 605-697-2874
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for MELINDA D WIEDEMANN

NPI Number 1285915595
Credentials BS
Entity Individual
Enumeration date 08/31/2011
Last updated 08/31/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • SD Medicaid: 5200060
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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