Provider Demographics
NPI:1598811440
Name:ANDREANI, MELANIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:
Last Name:ANDREANI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 CALIFORNIA ST
Mailing Address - Street 2:#307
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-2357
Mailing Address - Country:US
Mailing Address - Phone:415-500-5961
Mailing Address - Fax:
Practice Address - Street 1:150 GRAND AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3781
Practice Address - Country:US
Practice Address - Phone:510-451-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP5209235Z00000X
CA18939235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ158296Medicaid
CA18939Medicaid