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NPI Code Detail

MEDICARE: MELINDA MACDONALD

MEDICARE: MELINDA MACDONALD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1568320034
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA MACDONALD
Provider Business Mailing Address
First Line : 1804 CLOQUET AVE
Second Line :
City : CLOQUET
State : MN
Zip : 55720-2141
Country : US
Telephone Number : 218-879-2119
Fax Number : 218-879-2696
Provider Business Practice Location Address
First Line : 1804 CLOQUET AVE
Second Line :
City : CLOQUET
State : MN
Zip : 55720-2141
Country : US
Telephone Number : 218-879-2119
Fax Number : 218-879-2696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ MELINDA MACDONALD ” Practice Location

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