Provider Demographics
NPI:1841598166
Name:SEKA, MELISSA B (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:B
Last Name:SEKA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:SEKA-WILSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2633 MARIN AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94708-1527
Mailing Address - Country:US
Mailing Address - Phone:510-387-5367
Mailing Address - Fax:
Practice Address - Street 1:2633 MARIN AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94708-1527
Practice Address - Country:US
Practice Address - Phone:510-387-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18146103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical