Individual
DR. FUKIKO SHIBAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2017 MISSION ST FL 2, SAN FRANCISCO, CA 94110-1296
(415) 715-1050
Mailing address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(415) 271-4044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2012
Last updated
05/31/2018
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