Provider Demographics
NPI:1639119779
Name:HARPER, MELINDA SCHUESSLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:SCHUESSLER
Last Name:HARPER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 S SHARON AMITY RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2868
Mailing Address - Country:US
Mailing Address - Phone:704-354-0452
Mailing Address - Fax:704-364-5481
Practice Address - Street 1:417 S SHARON AMITY RD
Practice Address - Street 2:SUITE A
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2868
Practice Address - Country:US
Practice Address - Phone:704-354-0452
Practice Address - Fax:704-364-5481
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3124103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical