Healthcare Provider Details

I. General information

NPI: 1982957379
Provider Name (Legal Business Name): KAREN HARBER, PSYCHOTHERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 10/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 THE ALAMEDA
BERKELEY CA
94707-2301
US

IV. Provider business mailing address

919 THE ALAMEDA
BERKELEY CA
94707-2301
US

V. Phone/Fax

Practice location:
  • Phone: 510-526-7080
  • Fax:
Mailing address:
  • Phone: 510-526-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS7458
License Number StateCA

VIII. Authorized Official

Name: DR. KAREN HARBER
Title or Position: PRESIDENT
Credential: PHD, LCSW
Phone: 510-526-7080