Susan Fern Brand in Berkeley - Psychologist
Susan Fern Brand - NPI 1932301462
Susan Fern Brand is a Psychologist in Berkeley, California. Susan Fern Brand practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan Fern Brand is 1932301462. The last update date is 2007-07-08.
Susan Fern Brand's current location address is 1530 5th St, Berkeley, California. You can contact this provider via phone number 5105253885 and fax number 5105252102. The mailing address for Susan Fern Brand is 1530 5th St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Fern Brand |
|---|---|
| Address | 1530 5th St, Berkeley, California |
| Phone Number | 5105253885 |
| Fax Number | 5105252102 |
| Sole Proprietor | Y |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1932301462 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1530 5th St |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947101713 |
| Phone Number | 5105253885 |
| Fax Number | 5105252102 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY12280 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Susan Fern Brand by the Centers for Medicare & Medicaid Services?
The Susan Fern Brand has been issued the NPI (National Provider Identifier) 1932301462. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan Fern Brand's physical address?
The Susan Fern Brand is physically located at 1530 5Th St, in the city of Berkeley, CA, with the postal code 947101713.
What is Susan Fern Brand's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Fern Brand is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Susan Fern Brand receive the assignment of its 1932301462 from the Centers for Medicare & Medicaid Services?
The Susan Fern Brand was issued its 1932301462 by the Centers for Medicare & Medicaid Services on 2007-06-05.
As of what date were the details related to Susan Fern Brand most recently updated or revised?
The information pertaining to Susan Fern Brand, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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