Healthcare Provider Details

I. General information

NPI: 1801231048
Provider Name (Legal Business Name): MELISSA A QUINCER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 32ND AVE S STE 202
GRAND FORKS ND
58201
US

IV. Provider business mailing address

2424 32ND AVE S STE 202
GRAND FORKS ND
58201-6510
US

V. Phone/Fax

Practice location:
  • Phone: 701-746-6336
  • Fax: 701-772-1030
Mailing address:
  • Phone: 701-746-6336
  • Fax: 701-772-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number544
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number747-4-15-13A
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: