Doctor Name: | MELISSA PLOOSTER |
NPI Number: | 1033369384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2055 Garrett Way Ste 1 Pocatello, ID - 832015100 |
Business Phone Number: | 2082361600 |
Business Fax Number: | 2082366695 |
Mailing Address: | 2055 Garrett Way, Ste 1 POCATELLO |
State: | ID |
Postal Code: | 832015100 |
Phone Number: | 2082361600 |
Fax Number: | 2082366695 |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 09/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |