Basic Information
| Provider Information | |||||||||
| NPI: | 1306306519 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SUTER | ||||||||
| FirstName: | MELISSA | ||||||||
| MiddleName: | JANE | ||||||||
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| Credential: | CSW-PIP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 215 N COLLEGE ST | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | SD | ||||||||
| PostalCode: | 570131928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6059407226 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2501 W 22ND ST | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053363230 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2019 | ||||||||
| LastUpdateDate: | 03/22/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | SD | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.