Provider Demographics
NPI:1215368584
Name:SWEENEY GRIFFITH, MELANIE ANN I (MA)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:ANN
Last Name:SWEENEY GRIFFITH
Suffix:I
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:ANN
Other - Last Name:SWEENEYGRIFFITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:6453 WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1605
Mailing Address - Country:US
Mailing Address - Phone:510-629-6326
Mailing Address - Fax:510-865-1930
Practice Address - Street 1:2325 CLEMENT AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-7063
Practice Address - Country:US
Practice Address - Phone:510-629-6326
Practice Address - Fax:510-865-1930
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor