Individual
DR. GENESEE HERZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2185 ASHBY AVE, BERKELEY, CA 94705-1835
(510) 863-1104
Mailing address
2185 ASHBY AVE, BERKELEY, CA 94705-1835
(510) 863-1104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY 26407
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
04/30/2012
Last updated
12/23/2020
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