Provider Demographics
NPI:1780994004
Name:SHOLTIS, MELANIE (PSY D)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:SHOLTIS
Suffix:
Gender:
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 THOMAS JOHNSON DR STE 204
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4478
Mailing Address - Country:US
Mailing Address - Phone:301-467-7268
Mailing Address - Fax:
Practice Address - Street 1:186 THOMAS JOHNSON DR STE 204
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4478
Practice Address - Country:US
Practice Address - Phone:301-467-7268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04912103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical