Organization
BIRCH PSYCHIATRIC SERVICES A NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BIRCH PMHNP (CEO)
(510) 599-9421
Entity
Organization
Contact information
Practice address
2397 SHATTUCK AVE STE 206, BERKELEY, CA 94704-1567
(510) 599-9421
Mailing address
2397 SHATTUCK AVE STE 206, BERKELEY, CA 94704-1567
(510) 599-9421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18162
CA
Other
Enumeration date
05/29/2013
Last updated
04/16/2019
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