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Individual

BARBARA LOUISE MERCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
376 COLUSA AVENUE, SUITE 1, KENSINGTON, CA 94707
(510) 528-0458
Mailing address
1835 CAPISTRANO AVE, BERKELEY, CA 94707-1902

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 7357
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00PL
BLUE SHIELD
CA
Enumeration date
06/06/2007
Last updated
07/08/2007
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