NPI Profile for ILYA ERENBERG in PINOLE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
School |
101YS0200X |
| NPI Number | 1932390085 |
|
| Status | Active | |
| Credentials | M.A. | |
| Entity | Individual | |
| Enumeration date | 08/05/2007 | |
| Last updated | 08/05/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ILYA ERENBERG
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