Individual
GINGER BERCAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S LAKE AVE, PASADENA, CA 91106-3955
(626) 375-9275
Mailing address
600 S LAKE AVE, PASADENA, CA 91106-3955
(626) 375-9275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18014
CA
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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