Provider Demographics
NPI:1538351648
Name:SALMAN, MEIRA (MELISSA) JEAN (MFT)
Entity type:Individual
Prefix:MS
First Name:MEIRA (MELISSA)
Middle Name:JEAN
Last Name:SALMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 MILVIA ST
Mailing Address - Street 2:#2
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2605
Mailing Address - Country:US
Mailing Address - Phone:510-548-5160
Mailing Address - Fax:
Practice Address - Street 1:2509 MILVIA ST
Practice Address - Street 2:#2
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2605
Practice Address - Country:US
Practice Address - Phone:510-548-5160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35561106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist