Clemons, Melanie R
Clemons, Melanie R is an sole proprietor health care provider with primary practice located at 470 27Th St Bawar, Oakland CA 94612-2413. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Family is her primary health care specialty. Clemons, Melanie R can be contacted via phone (510) 982-6765.Contact Information
Primary practice address
470 27Th St Bawar
Oakland CA 94612-2413
Phone: (510) 982-6765
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Family | 103TF0000X | PSY 24578 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY 24578 | California |
Profile Details
NPI number | 1841423332 |
---|---|
LBN Legal business name | Clemons, Melanie R |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2009 |
Last updated | Jul 15th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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