Individual
MS. HAJERA ROSTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
970 TULARE AVENUE, BERKELEY, CA 94707
(510) 423-1545
Mailing address
970 TULARE AVENUE, BERKELEY, CA 94707
(510) 423-1545
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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