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DR. MIRIAM MARSOLAIS

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1912059973

Individual Registrant:
DR. MIRIAM  MARSOLAIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
376 COLUSA AVE  KENSINGTON, CA 94707-1213 US
Tel: 510-525-0244  Fax: --

Contact information for business:
509 VINCENTE AVE  BERKELEY, CA 94707-1521 US
Tel: 510-525-0244  Fax: --

Registration Information:
NPI: 1912059973
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY18619
N103TA0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY18619
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY18619
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
CAPSY18619

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICAL ALAMEDA COUNTY01474304CA01




HEALTH CARE JOBS CA - Page 1



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