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2140 Shattuck Ave Ste 804805 Berkeley CA 94704-1210 | |
| (510) 373-2723 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2140 Shattuck Ave Ste 804805, Berkeley, California |
| Authorized Official Name and Position | Elizabeth Anne Wright (OWNER) |
| Authorized Official Contact | 4153099570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2140 Shattuck Ave Ste 804805 Berkeley CA 94704-1210 Ph: (510) 373-2723 | 2140 Shattuck Ave Ste 804805 Berkeley CA 94704-1210 Ph: (510) 373-2723 |
| NPI Number | 1902314297 |
|---|---|
| Provider Enumeration Date | 01/20/2018 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902314297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 95719 (California) | Primary |
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