Provider Demographics
NPI:1073835260
Name:OLINDE, MELANIE PAGE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:PAGE
Last Name:OLINDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MELANIE
Other - Middle Name:DAWN
Other - Last Name:PAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3370 DEBORAH DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2151
Mailing Address - Country:US
Mailing Address - Phone:318-791-2262
Mailing Address - Fax:318-361-9247
Practice Address - Street 1:3370 DEBORAH DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-2151
Practice Address - Country:US
Practice Address - Phone:318-791-2262
Practice Address - Fax:318-361-9247
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11185R2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology