Provider Demographics
NPI:1952611915
Name:YODER, MELINDA (RD)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:YODER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HIRSCHFIELD DRIVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-553-7826
Mailing Address - Fax:
Practice Address - Street 1:5820 MAIN STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-416-8213
Practice Address - Fax:716-414-0405
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered