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NPI Code Detail

MEDICARE: DR. ZVI JEREMY BELLIN LPCC

MEDICARE:  DR. ZVI JEREMY BELLIN  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC37CA

General Provider Information

NPI Number : 1073864534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZVI JEREMY BELLIN LPCC
Provider Business Mailing Address
First Line : 2019 CARLETON ST
Second Line :
City : BERKELEY
State : CA
Zip : 94704-3239
Country : US
Telephone Number : 510-292-4002
Fax Number :
Provider Business Practice Location Address
First Line : 2915 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2133
Country : US
Telephone Number : 510-292-4002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2012
Last Update Date : 09/25/2012

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