Amy Lauren Attiyeh, MFT
Individual provider Active NPI Marriage & Family Therapist · Berkeley, CA
NPI 1629192117 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629192117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT 39504 (CA)
- Practice address
- 1806 Martin Luther King Jr Way
Berkeley, CA 94709-2227 - Phone
- (510) 644-9310
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 39504 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 39504 | CA | Yes |
Addresses
Primary practice location
1806 Martin Luther King Jr Way
Berkeley, CA 94709-2227
Mailing address
1806 Martin Luther King Jr Way
Berkeley, CA 94709-2227
Phone (510) 644-9310
Other providers in Berkeley, CA
- Montserrat Joan Astorino
- Marina M Atala
- Nicole Atme-Bahrani
- Mariam Attawia
- Chelsea Atterbury
- Marvin Au
- Rebecca Au
- Sara Au
- Robert Aude
- Jennifer Ault
All providers in Berkeley, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.