Healthcare Provider Details

I. General information

NPI: 1316652191
Provider Name (Legal Business Name): HANNAH PLOWRIGHT AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SANTA CLARA AVE STE 165
OAKLAND CA
94610-1333
US

IV. Provider business mailing address

2829 REGENT ST
BERKELEY CA
94705-2111
US

V. Phone/Fax

Practice location:
  • Phone: 510-485-0008
  • Fax: 510-485-0009
Mailing address:
  • Phone: 510-395-4215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: