Provider Demographics
NPI:1831250315
Name:TROWBRIDGE, MELINDA RAE (LPC)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:RAE
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-4910
Mailing Address - Country:US
Mailing Address - Phone:816-898-8730
Mailing Address - Fax:
Practice Address - Street 1:3000 SW 4TH ST
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-4910
Practice Address - Country:US
Practice Address - Phone:816-898-8730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000155316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional