| |
2006 Dwight Way #101 Berkeley CA 94704-2633 | |
(510) 848-8700 | |
(510) 848-8778 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 2006 Dwight Way, Berkeley, California |
Authorized Official Name and Position | Paul Edward Katz (CO-OWNER) |
Authorized Official Contact | 5108488700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2006 Dwight Way #101 Berkeley CA 94704-2633 Ph: (510) 848-8700 | 2006 Dwight Way #101 Berkeley CA 94704-2633 Ph: (510) 848-8700 |
NPI Number | 1508904665 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1508904665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY5981 (California) | Primary |
106H00000X | Marriage & Family Therapist | MFC18394 (California) | Primary |
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