| Mark And Barbara Sullivan Psychotherapy Inc | |
|
2635 Russell St Berkeley CA 94705-2131 | |
| (510) 540-0548 | |
| Not Available |
| Full Name | Mark And Barbara Sullivan Psychotherapy Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2635 Russell St, Berkeley, California |
| Authorized Official Name and Position | Barbara Stevens Sullivan (VICE-PRESIDENT) |
| Authorized Official Contact | 5102583068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark And Barbara Sullivan Psychotherapy Inc 2635 Russell St Berkeley CA 94705-2131 Ph: (510) 540-0548 | Mark And Barbara Sullivan Psychotherapy Inc 2635 Russell St Berkeley CA 94705-2131 Ph: (510) 540-0548 |
| NPI Number | 1508298035 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508298035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW 3295 (California) | Primary |
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