Doctor Name: | DR. MELANIE GREENBERG |
NPI Number: | 1114166568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY22075 |
Business Practice Address: | 150 Shoreline Hwy Building B, Suite 22 Mill Valley, CA - 949413639 |
Business Phone Number: | 4157428062 |
Business Fax Number: | 4157428062 |
Mailing Address: | 150 Shoreline Hwy, Building B, Suite 22 MILL VALLEY |
State: | CA |
Postal Code: | 949413639 |
Phone Number: | 4157428062 |
Fax Number: | 4157428062 |
NPI Enumeration Date: | 02/09/2009 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PSY22075 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |