Provider Demographics
NPI:1578182002
Name:ROSENBERGER, AMY (LMFT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ROSENBERGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:GRETA
Other - Middle Name:
Other - Last Name:ROSENBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT, MDIV
Mailing Address - Street 1:PO BOX 1403
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-0009
Mailing Address - Country:US
Mailing Address - Phone:510-517-2846
Mailing Address - Fax:510-783-5878
Practice Address - Street 1:25400 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2464
Practice Address - Country:US
Practice Address - Phone:510-517-2846
Practice Address - Fax:510-783-5878
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113125106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty