Individual
ETHAN R SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2340 WARD ST STE 204, BERKELEY, CA 94705-1147
(510) 658-5887
Mailing address
2340 WARD ST STE 204, BERKELEY, CA 94705-1147
(510) 658-5887
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY20986
CA
Other
Enumeration date
05/15/2009
Last updated
11/30/2016
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