Organization
BERKELEY THERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI HARTWIG (BUSINESS MANAGER)
(510) 841-8484
Entity
Organization
Contact information
Practice address
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709-2139
(510) 841-8484
(510) 540-1707
Mailing address
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709-2139
(510) 841-8484
(510) 540-1707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
140000012
CA
106H00000X
Marriage & Family Therapist
140000012
CA
2084P0800X
Psychiatry Physician
Primary
140000012
CA
Other
Enumeration date
12/28/2006
Last updated
01/30/2013
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