Dymetria Sellers, | |
2855 Telegraph Ave Ste 205, Berkeley, CA 94705-1128 | |
(888) 963-9639 | |
Not Available |
Full Name | Dymetria Sellers |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2855 Telegraph Ave Ste 205, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003489568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 125443 (California) | Primary |
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
---|---|
Dymetria Sellers, 2855 Telegraph Ave Ste 205, Berkeley, CA 94705-1128 Ph: (888) 963-9639 | Dymetria Sellers, 2855 Telegraph Ave Ste 205, Berkeley, CA 94705-1128 Ph: (888) 963-9639 |
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