Herzberg, Genesee

Herzberg, Genesee is an sole proprietor health care provider with primary practice located at 2185 Ashby Ave , Berkeley CA 94705-1835. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Herzberg, Genesee can be contacted via phone (510) 863-1104.

Contact Information

Primary practice address
2185 Ashby Ave Berkeley CA 94705-1835
Phone: (510) 863-1104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1457619280
LBN Legal business name Herzberg, Genesee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2012
Last updated Dec 23rd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457619280 NPPES
California Other PSY 26407 CALIFORNIA BOARD OF PSYCHOLOGY

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