Provider Demographics
NPI:1669004768
Name:OSTERMANN, MELINDA KAYE (BA)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:KAYE
Last Name:OSTERMANN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 HERSHEY RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-4514
Mailing Address - Country:US
Mailing Address - Phone:814-866-7133
Mailing Address - Fax:
Practice Address - Street 1:2012 HERSHEY RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-4514
Practice Address - Country:US
Practice Address - Phone:814-866-7133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist