Individual
DR. ANNE C BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2955 SHATTUCK AVE # 12, BERKELEY, CA 94705-1808
(510) 549-0598
Mailing address
2955 SHATTUCK AVENUE #12, BERKELEY, CA 94705-1808
(510) 549-0598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY4290
CA
103TF0000X
Family Psychologist
Primary
PSY4290
CA
106H00000X
Marriage & Family Therapist
MFC5940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFCC5940
MARR & FAM THERAPIST LIC
CA
01
—
PSY4290
PSYCHOLOGIST LICENSE
CA
Enumeration date
08/09/2006
Last updated
10/22/2010
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