Provider Demographics
NPI:1518165224
Name:MENENDEZ, JOANNA LEIGH
Entity Type:Individual
Prefix:MISS
First Name:JOANNA
Middle Name:LEIGH
Last Name:MENENDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 LEAVENWORTH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2672
Mailing Address - Country:US
Mailing Address - Phone:415-775-9361
Mailing Address - Fax:415-775-4507
Practice Address - Street 1:391 LEAVENWORTH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2672
Practice Address - Country:US
Practice Address - Phone:415-775-9361
Practice Address - Fax:415-775-4507
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health