Provider Demographics
NPI:1891182945
Name:WHETSTINE, MELANIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:WHETSTINE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:WHETSTINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:254 E MAIN ST
Mailing Address - Street 2:SUITE 226
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-2678
Mailing Address - Country:US
Mailing Address - Phone:509-330-5456
Mailing Address - Fax:509-561-6229
Practice Address - Street 1:3244 E FLOWER ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2213
Practice Address - Country:US
Practice Address - Phone:509-330-5456
Practice Address - Fax:509-561-6229
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60484398103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling