MEDICARE: MS. ALIYAH STEIN MFT

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
1	106H00000X	Marriage & Family Therapist	M15659	CA

General Provider Information

NPI Number	:	1134148802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALIYAH STEIN MFT

Provider Business Mailing Address
First Line	:	1014 CRAGMONT AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94708-1412
Country	:	US
Telephone Number	:	510-848-5167
Fax Number	:	510-558-3235

Provider Business Practice Location Address
First Line	:	1014 CRAGMONT AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94708-1412
Country	:	US
Telephone Number	:	510-848-5167
Fax Number	:	510-558-3235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	05/20/2024

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