MELINDA D WIEDEMANN, BS, Counselor BROOKINGS, SD

Contact Information

MELINDA D WIEDEMANN, BS

211 4TH STREET
BROOKINGS, SD 57006

Phone: 605-697-2850
Fax: 605-697-2874
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Counselor	101Y00000X

Indicates primary specialty

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NPI Profile & details for MELINDA D WIEDEMANN · (Female)

NPI #	`1285915595`
Status	Active
Credentials	BS
Entity	Individual
Enumeration date	08/31/2011
Last updated	08/31/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	SD Medicaid 5200060
Hospital affiliation(s)	Not Available

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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