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NPI Code Detail

MEDICARE: MELINDA B BONHAM MS, LMFT

MEDICARE: MELINDA B BONHAM MS, LMFT
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
1106H00000XMarriage & Family Therapist2025054321MO

General Provider Information

NPI Number : 1669234050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA B BONHAM MS, LMFT
Provider Business Mailing Address
First Line : 2885 W BATTLEFIELD ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3952
Country : US
Telephone Number : 417-761-5214
Fax Number :
Provider Business Practice Location Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-254-3652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2024
Last Update Date : 01/06/2026

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