| |
1909 University Ave Berkeley CA 94704 | |
(510) 809-1780 | |
(510) 893-1642 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1909 University Ave, Berkeley, California |
Authorized Official Name and Position | Laura Evon Weissberger (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6619939053 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1919 Addison St Ste 204 Berkeley CA 94704-1143 Ph: (510) 889-7445 | 1909 University Ave Berkeley CA 94704 Ph: (510) 809-1780 |
NPI Number | 1811559735 |
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Provider Enumeration Date | 07/01/2019 |
Last Update Date | 12/24/2024 |
Certification Date | 12/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811559735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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