Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 011964 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY22075 | CA |
N | 103G00000X | Clinical Psychologist | 011964 | NY |
N | 103TC0700X | Clinical Psychologist | 011964 | NY |
Y | 103G00000X | Clinical Psychologist | PSY22075 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY22075 | CA |
N | 103TH0004X | Health Psychologist | 011964 | NY |
N | 103TH0004X | Health Psychologist | PSY22075 | CA |
N | 103TP2701X | Group Psychotherapist | PSY22075 | CA |
NPI | 1114166568 |
---|---|
Provider Name | Dr. Melanie Greenberg |
First Address | Mill Valley, CA 94941-3639 |
Second Address | Mill Valley, CA 94941-3639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2009 |
Last Update Date | 11/12/2013 |