| |
1400 Shattuck Ave Space 8 Berkeley CA 94709-1411 | |
(510) 868-0686 | |
(510) 868-0236 |
Full Name | |
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Speciality | Psychologist - Clinical |
Location | 1400 Shattuck Ave, Berkeley, California |
Authorized Official Name and Position | Robin Cheryl Silverman (DIRECTOR) |
Authorized Official Contact | 5108680686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1400 Shattuck Ave Space 8 Berkeley CA 94709-1411 Ph: (510) 868-0686 | 1400 Shattuck Ave Space 8 Berkeley CA 94709-1411 Ph: (510) 868-0686 |
NPI Number | 1336477108 |
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Provider Enumeration Date | 12/06/2009 |
Last Update Date | 12/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336477108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY22943 (California) | Primary |
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