Provider Demographics
NPI:1871786152
Name:DEAN, INGE SHARON (LMFT)
Entity type:Individual
Prefix:
First Name:INGE
Middle Name:SHARON
Last Name:DEAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 TELEGRAPH AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1965
Mailing Address - Country:US
Mailing Address - Phone:510-644-4227
Mailing Address - Fax:510-537-9245
Practice Address - Street 1:3120 TELEGRAPH AVE STE 7
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1965
Practice Address - Country:US
Practice Address - Phone:510-644-4227
Practice Address - Fax:510-537-9245
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33666106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist