Provider Demographics
NPI:1730725060
Name:HODDER, MELINDA (MS ED)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:HODDER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 STIEFEL AVE
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-2946
Mailing Address - Country:US
Mailing Address - Phone:724-831-9678
Mailing Address - Fax:
Practice Address - Street 1:408 STIEFEL AVE
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-2946
Practice Address - Country:US
Practice Address - Phone:724-831-9678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool