Kelley Bryan Gin, Psyd | |
2711 Alcatraz Ave Ste 2 Berkeley CA 94705-2726 | |
(510) 219-7091 | |
Not Available |
Full Name | Kelley Bryan Gin, Psyd |
---|---|
Speciality | Psychologist - Clinical |
Location | 2711 Alcatraz Ave Ste 2, Berkeley, California |
Authorized Official Name and Position | Kelley Gin (OWNER) |
Authorized Official Contact | 5102197091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelley Bryan Gin, Psyd 2711 Alcatraz Ave Ste 2 Berkeley CA 94705-2726 Ph: (510) 219-7091 | Kelley Bryan Gin, Psyd 2711 Alcatraz Ave Ste 2 Berkeley CA 94705-2726 Ph: (510) 219-7091 |
NPI Number | 1972072023 |
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Provider Enumeration Date | 11/19/2018 |
Last Update Date | 11/19/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972072023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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