Provider Demographics
NPI:1669570784
Name:NEWELL, MELINDA LEE (MS)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:LEE
Last Name:NEWELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18309 72ND AVE W
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98023-5511
Mailing Address - Country:US
Mailing Address - Phone:425-745-3263
Mailing Address - Fax:
Practice Address - Street 1:4807 196TH ST SW SUITE 100
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036
Practice Address - Country:US
Practice Address - Phone:425-774-4269
Practice Address - Fax:425-744-1216
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health