Individual
DR. MARY TENNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2417 CARLETON ST, BERKELEY, CA 94704-3310
(510) 653-1313
Mailing address
2417 CARLETON ST, BERKELEY, CA 94704-3310
(510) 653-1313
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
PSY10410
CA
103TP0814X
Psychoanalysis Psychologist
Primary
PSY10410
CA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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