| Doctor Name: | MS. MELINDA S TRIEMSTRA |
| NPI Number: | 1356448054 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LSW3080 |
| Business Practice Address: | 520 Main St Dowagiac, MI - 490471762 |
| Business Phone Number: | 2697833052 |
| Business Fax Number: | |
| Mailing Address: | 3410 Random Rd, KALAMAZOO |
| State: | MI |
| Postal Code: | 49004 |
| Phone Number: | 2693645302 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 11/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW3080 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |