| Doctor Name: | MS. MELISSA LEA THIELMAN |
| NPI Number: | 1013328889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSSW, CAPSW |
| License Number: | 695-121 |
| Business Practice Address: | 212 11th St S La Crosse, WI - 546014397 |
| Business Phone Number: | 6083929555 |
| Business Fax Number: | 6083929432 |
| Mailing Address: | 212 11th St S, LA CROSSE |
| State: | WI |
| Postal Code: | 546014397 |
| Phone Number: | 6083929555 |
| Fax Number: | 6083929432 |
| NPI Enumeration Date: | 05/15/2014 |
| NPI Last Update Date: | 05/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 695-121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |