Individual
JACK BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
675 18TH ST, SAN FRANCISCO, CA 94143-4200
(415) 476-7527
Mailing address
675 18TH ST, SAN FRANCISCO, CA 94143-4200
(415) 476-7527
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A190970
CA
Other
Enumeration date
04/06/2022
Last updated
06/26/2025
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