Provider Demographics
NPI:1356665145
Name:SCHUSTER, MELINDA SHANTEL (LPC)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:SHANTEL
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:MELINDA
Other - Middle Name:SHANTEL
Other - Last Name:SCHUSTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M A, LPC
Mailing Address - Street 1:421 E THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-2600
Mailing Address - Country:US
Mailing Address - Phone:405-372-2202
Mailing Address - Fax:
Practice Address - Street 1:421 E THOMAS AVE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075-2600
Practice Address - Country:US
Practice Address - Phone:405-372-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
OK4543101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor