Berlyant, Maxwell
Berlyant, Maxwell is an individual health care provider with primary practice located at 111 Smith Ranch Rd , San Rafael CA 94903-1939. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Berlyant, Maxwell can be contacted via phone (415) 491-3000.Contact Information
Primary practice address
111 Smith Ranch Rd
San Rafael CA 94903-1939
Phone: (415) 491-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY30716 | California |
Profile Details
| NPI number | 1295398519 |
|---|---|
| LBN Legal business name | Berlyant, Maxwell |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2019 |
| Last updated | Jan 3rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295398519 | NPPES |
| California | MEDICAID | 1083002315 |
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