Individual
MS. HEATHER KEITH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PSY.D.
Contact information
Practice address
2625 ALCATRAZ AVE, BERKELEY, CA 94705-2702
(510) 282-7677
Mailing address
2625 ALCATRAZ AVE, BERKELEY, CA 94705
(510) 282-7677
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
23533
CA
Other
Enumeration date
09/10/2008
Last updated
08/03/2010
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