Provider Demographics
NPI:1942054861
Name:OSTERHOLD, HELGE
Entity Type:Individual
Prefix:DR
First Name:HELGE
Middle Name:
Last Name:OSTERHOLD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 COLLEGE AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1674
Mailing Address - Country:US
Mailing Address - Phone:415-820-3959
Mailing Address - Fax:
Practice Address - Street 1:5625 COLLEGE AVE STE 207
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1674
Practice Address - Country:US
Practice Address - Phone:415-820-3959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47397106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist