Provider Demographics
NPI:1700199643
Name:YOUNG, MELINDA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:LOUISE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3527 MT DIABLO BLVD
Mailing Address - Street 2:#337
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3815
Mailing Address - Country:US
Mailing Address - Phone:925-944-8880
Mailing Address - Fax:925-944-8889
Practice Address - Street 1:43 QUAIL CT
Practice Address - Street 2:#110
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8701
Practice Address - Country:US
Practice Address - Phone:925-944-8880
Practice Address - Fax:925-944-8889
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
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Provider Licenses
StateLicense IDTaxonomies
CAG510852084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry