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Individual

DR. DANA CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1078 SHATTUCK AVENUE, #6, BERKELEY, CA 94709
(510) 224-5514
Mailing address
1078 SHATTUCK AVENUE #6, BERKELEY, CA 94709
(510) 224-5514

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY 21607
CA
103TC0700X
Clinical Psychologist
Primary
PSY 21607
CA
103TH0100X
Health Service Psychologist
PSY 21607
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 21607
CA

Other

Enumeration date
11/05/2010
Last updated
02/25/2011
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