Provider Demographics
NPI:1386930279
Name:SIDERS, MELINDA G (LMFT)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:G
Last Name:SIDERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 N. MAHALEB STREET
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274
Mailing Address - Country:US
Mailing Address - Phone:559-303-1427
Mailing Address - Fax:559-366-7211
Practice Address - Street 1:210 25TH AVE N STE 700
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1611
Practice Address - Country:US
Practice Address - Phone:615-285-9434
Practice Address - Fax:559-366-7211
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2456106H00000X
CA70649106H00000X
CALMFT110318106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist