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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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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