Malmberg, Debra Berry
Malmberg, Debra Berry is an sole proprietor health care provider with primary practice located at 732 Mott St Ste 100 , San Fernando CA 91340-4240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Malmberg, Debra Berry can be contacted via phone (818) 963-5690.Contact Information
Primary practice address
732 Mott St Ste 100
San Fernando CA 91340-4240
Phone: (818) 963-5690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 23475 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 23475 | California |
Profile Details
| NPI number | 1295592871 |
|---|---|
| LBN Legal business name | Malmberg, Debra Berry |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 29th, 2024 |
| Last updated | Mar 1st, 2024 - about 2 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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