Individual
GAURIE MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 SHATTUCK AVE, SUITE 804/805, BERKELEY, CA 94704-1210
(619) 354-7400
Mailing address
2140 SHATTUCK AVE, SUITE 804/805, BERKELEY, CA 94704-1210
(619) 354-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY35530
CA
Other
Enumeration date
08/04/2021
Last updated
04/08/2026
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