Individual
GEORGINE MARROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2435 RUSSELL ST, BERKELEY, CA 94705-2080
(510) 853-0946
Mailing address
569 MINER RD, ORINDA, CA 94563-1429
(510) 853-0946
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
PSY8570
CA
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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