Mary Lague (NPI# 1215962592, PAC ID# 6608896485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1215962592 |
| PAC ID by PECOS | 6608896485 |
| Professional Enrollment ID | I20051123000384 |
| Full Name | Mary Lague |
| Address |
2040 Vine St Berkeley CA 94709-2034 |
| Phone Number | 5105894805 |
| Gender | F |
| Credential | CP |
| Graduation Year | 2000 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2040 Vine St, Berkeley, CA 94709-2034 | 5105894805 |
| Street Address |
2040 VINE ST |
| City | BERKELEY |
| State | CA |
| Zip | 94709-2034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel B Goldstine | Psychologist, Clinical | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Catharine E Kibira | Psychologist, Clinical | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Bonnie Kahane | Psychologist, Clinical | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Sarah Mullin | Psychologist, Clinical | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Claramarie Collins | Psychologist, Clinical | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Kevin Raymond Pinjuv | Psychologist, Clinical | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Robert K Dolgoff | Psychiatry | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Thomas R Jones | Psychiatry | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Hilary Brady Goldstine | Psychologist, Clinical | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Amy C Thomson | Nurse Practitioner | Berkeley Therapy Institute | 1749 Martin L King Jr Way, Berkeley, CA 94709 |
| Find all physicians in zip 94709 | |||
| City | BERKELEY |
| Zip Code | 94709 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | BERKELEY + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Mary Lague.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.