| Doctor Name: | MELISSA A ANSTINE |
| NPI Number: | 1275702946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | LMSW-28563 |
| Business Practice Address: | 102 N College St Grangeville, ID - 835301912 |
| Business Phone Number: | 2089830235 |
| Business Fax Number: | 2089830245 |
| Mailing Address: | 102 N College St, GRANGEVILLE |
| State: | ID |
| Postal Code: | 835301912 |
| Phone Number: | 2089830235 |
| Fax Number: | 2089830245 |
| NPI Enumeration Date: | 02/26/2008 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LMSW-28563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |