Provider Demographics
NPI:1568282085
Name:SPERBER, STEPHEN MARTIN (LMFT)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MARTIN
Last Name:SPERBER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1222
Mailing Address - Country:US
Mailing Address - Phone:510-517-9902
Mailing Address - Fax:
Practice Address - Street 1:1516 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-1222
Practice Address - Country:US
Practice Address - Phone:925-930-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT6398106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist