Organization Name: | BERKELEY PSYCHOLOGICAL SERVICES |
NPI Number: | 1134284128 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH ANN LINNAN (DIRECTOR) |
Mailing Address: | 101 S Kraemer Blvd Suite 125 Placentia |
State: | CA US |
Postal Code: | 928706105 |
Phone Number: | 7145240201 |
Fax Number: | 7145240202 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | RP 000077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |