<unavail> in Berkeley, CA - Clinical Neuropsychologist

is a mental health clinic (Clinical Neuropsychologist) in Berkeley, California. The current practice location for is 1213 Masonic Ave, Berkeley, California. For appointments, you can reach them via phone at (510) 778-4055. The mailing address for is 1213 Masonic Ave, Berkeley, California and phone number is (510) 778-4055.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1770122178. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (510) 778-4055.

Contact Information


	1213 Masonic Ave Berkeley CA 94706-2329
	(510) 778-4055
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
1213 Masonic Ave Berkeley CA 94706-2329 Ph: (510) 778-4055	1213 Masonic Ave Berkeley CA 94706-2329 Ph: (510) 778-4055

NPI Details:

NPI Number	1770122178
Provider Enumeration Date	01/02/2020
Last Update Date	11/23/2020
Certification Date	11/23/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770122178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103G00000X	Clinical Neuropsychologist	(* (Not Available))	Primary
103TC0700X	Psychologist - Clinical	(* (Not Available))	Secondary

Reviews and Comments

Clinical Neuropsychologist in Berkeley, CA

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- Mental Health Clinic in Berkeley, CA