NPI 1871707539 · live from the CMS NPI Registry
Mara Berkley, MFT, Psy.D.
Marriage & Family Therapist in Providence, RI. National Provider Identifier 1871707539, active.
NPI record
| NPI | 1871707539 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 78 Oriole Ave, Providence, RI 02906 |
| Practice phone | 401-529-7861 |
| Mailing address | 534 Angell St, Providence, RI 02906 |
| Enumerated | May 10, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT00097 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.