Organization
JOSEPH W TIETZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WARREN TIETZ PHD (CLINICAL PSYCHOLOGIST)
(510) 912-3438
Entity
Organization
Contact information
Practice address
1538 EDITH ST, BERKELEY, CA 94703-1154
(510) 912-3438
Mailing address
1538 EDITH ST, BERKELEY, CA 94703-1154
(510) 912-3438
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
22884
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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