Potter, Melinda Pearl

Potter, Melinda Pearl is an sole proprietor health care provider with primary practice located at 103 E 10Th St , Ogallala NE 69153-1442. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Potter, Melinda Pearl can be contacted via phone (308) 284-6519.

Contact Information

Primary practice address
103 E 10Th St Ogallala NE 69153-1442
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 13258 Nebraska

Profile Details

NPI number 1790404150
LBN Legal business name Potter, Melinda Pearl
Credentials MS, PLMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2022
Last updated Jan 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790404150 NPPES
Nebraska Other 13258 PROVISIONAL MENTAL HEALTH PRACTITIONER

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