Provider Demographics
NPI:1336477108
Name:ALTERNATIVE LEGAL AND PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:ALTERNATIVE LEGAL AND PSYCHOLOGICAL SERVICES
Other - Org Name:ALTERNATIVE LEGAL & MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-868-0686
Mailing Address - Street 1:1400 SHATTUCK AVE
Mailing Address - Street 2:SPACE 8
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1411
Mailing Address - Country:US
Mailing Address - Phone:510-868-0686
Mailing Address - Fax:510-868-0236
Practice Address - Street 1:1400 SHATTUCK AVE
Practice Address - Street 2:SPACE 8
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1411
Practice Address - Country:US
Practice Address - Phone:510-868-0686
Practice Address - Fax:510-868-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-06
Last Update Date:2009-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22943103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty