Basic Information
| Provider Information | |||||||||
| NPI: | 1447316781 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GINNE | ||||||||
| FirstName: | MELINDA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 11117 | ||||||||
| Address2: | 280 W. MACARTHUR BLVD. | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946110117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5107528302 | ||||||||
| FaxNumber: | 5107521553 | ||||||||
| Practice Location | |||||||||
| Address1: | 6355 TELEGRAPH AVE | ||||||||
| Address2: | STE 302 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946091374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5107528302 | ||||||||
| FaxNumber: | 5107521553 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2006 | ||||||||
| LastUpdateDate: | 03/30/2016 | ||||||||
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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 | 103T00000X | PSY15272 | CA | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.