| |
3120 Telegraph Avenue Ste 9 Berkeley CA 94705 | |
(510) 788-0876 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 3120 Telegraph Avenue Ste 9, Berkeley, California |
Authorized Official Name and Position | Douglas A Lerch (DIRECTOR, PSYCHOTHERAPIST) |
Authorized Official Contact | 5107880876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3120 Telegraph Ave Ste 9 Berkeley CA 94705-1965 Ph: (510) 788-0876 | 3120 Telegraph Avenue Ste 9 Berkeley CA 94705 Ph: (510) 788-0876 |
NPI Number | 1215350145 |
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Provider Enumeration Date | 01/29/2014 |
Last Update Date | 01/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215350145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LMFT77728 (California) | Primary |
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