Provider Demographics
NPI:1083108575
Name:UNGER, ROMY-MICHELLE ALEXANDRA
Entity Type:Individual
Prefix:
First Name:ROMY-MICHELLE
Middle Name:ALEXANDRA
Last Name:UNGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 MCGEE AVE APT A
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2066
Mailing Address - Country:US
Mailing Address - Phone:214-728-4700
Mailing Address - Fax:
Practice Address - Street 1:2838 MCGEE AVE APT A
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2066
Practice Address - Country:US
Practice Address - Phone:214-728-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health