Provider Demographics
NPI:1447683438
Name:SCHWEDA, MELINDA SUE (MA COUNSELING)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:SUE
Last Name:SCHWEDA
Suffix:
Gender:F
Credentials:MA COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-2048
Mailing Address - Country:US
Mailing Address - Phone:307-333-1301
Mailing Address - Fax:307-333-5346
Practice Address - Street 1:2345 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-2048
Practice Address - Country:US
Practice Address - Phone:307-333-1301
Practice Address - Fax:307-333-5436
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC1222101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional