Joseph W Tietz
NPI #1649668377 in Berkeley, California
Provider Information
- NPI Number
- 1649668377
- Entity Type
- Organization
- Organization Name
- Joseph W Tietz
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 1538 EDITH ST
- City
- Berkeley
- State
- California
- ZIP Code
- 94703-1154
- Phone
- (510) 912-3438
Authorized Official
- Name
- DR. JOSEPH WARREN TIETZ, PHD
- Title
- CLINICAL PSYCHOLOGIST
- Phone
- (510) 912-3438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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