Individual
DR. MARA BERKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, PSY.D.
Contact information
Practice address
78 ORIOLE AVE, PROVIDENCE, RI 02906-5528
(401) 529-7861
(401) 455-1771
Mailing address
534 ANGELL ST, PROVIDENCE, RI 02906-4414
(401) 529-7861
(401) 455-1771
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT00097
RI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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