| Jennifer Dovichi Md Medical Corporation | |
|
2999 Regent St Ste 201 Berkeley CA 94705-2117 | |
| (925) 451-4544 | |
| Not Available |
| Full Name | Jennifer Dovichi Md Medical Corporation |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2999 Regent St Ste 201, Berkeley, California |
| Authorized Official Name and Position | Jennifer Dovichi (PRESIDENT) |
| Authorized Official Contact | 9254514544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Dovichi Md Medical Corporation 2999 Regent St Ste 201 Berkeley CA 94705-2117 Ph: (925) 451-4544 | Jennifer Dovichi Md Medical Corporation 2999 Regent St Ste 201 Berkeley CA 94705-2117 Ph: (925) 451-4544 |
| NPI Number | 1265295158 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265295158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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