Kelley Bryan Gin, Psyd | |
2711 Alcatraz Ave Ste 2 Berkeley CA 94705-2726 | |
(510) 219-7091 | |
Not Available |
Full Name | Kelley Bryan Gin, Psyd |
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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 |
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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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Bay Children's Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Ashby Ave, Suite 104, Berkeley, CA 94705 Phone: 510-224-4221 Fax: 510-422-1442 | |
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Bay Area Center For Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 Shattuck Ave Ste E, Berkeley, CA 94705 Phone: 510-649-9663 | |
Mental Health & Wellness Now Telehealth, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2081 Center St, Berkeley, CA 94704 Phone: 650-605-3622 | |
Jewish Family & Community Services East Bay Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2484 Shattuck Ave, 210, Berkeley, CA 94704 Phone: 925-927-2000 Fax: 510-704-7494 | |
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