Provider Demographics
NPI:1184770182
Name:SAULSBURY, MARILYN ELIZABETH (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:ELIZABETH
Last Name:SAULSBURY
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 1:2956 SHASTA RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94708-2142
Mailing Address - Country:US
Mailing Address - Phone:510-848-6274
Mailing Address - Fax:510-848-6274
Practice Address - Street 1:1715 SOLANO AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2220
Practice Address - Country:US
Practice Address - Phone:510-703-6348
Practice Address - Fax:510-848-6274
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37810101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health