Healthcare Provider Details
I. General information
NPI: 1144978735
Provider Name (Legal Business Name): KARA SWEDLOW, PHD, MARRIAGE AND FAMILY THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2022
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5480 COLLEGE AVE STE 5
OAKLAND CA
94618-1552
US
IV. Provider business mailing address
5435 COLLEGE AVE STE 202-6
OAKLAND CA
94618-1598
US
V. Phone/Fax
- Phone: 415-937-1041
- Fax:
- Phone: 415-937-1041
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARA
SWEDLOW
Title or Position: CEO
Credential: PHD, MFT
Phone: 415-937-1041