| Neurobehavioral Health Services | |
|
1213 Masonic Ave Berkeley CA 94706-2329 | |
| (510) 778-4055 | |
| Not Available |
| Full Name | Neurobehavioral Health Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1213 Masonic Ave, Berkeley, California |
| Authorized Official Name and Position | Jayne D. Hagen (OWNER) |
| Authorized Official Contact | 5107784055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Health Services 1213 Masonic Ave Berkeley CA 94706-2329 Ph: (510) 778-4055 | Neurobehavioral Health Services 1213 Masonic Ave Berkeley CA 94706-2329 Ph: (510) 778-4055 |
| NPI Number | 1770122178 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770122178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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