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1021 1st St Suite 5 Benicia CA 94510-3215 | |
| (707) 745-8906 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1021 1st St, Benicia, California |
| Authorized Official Name and Position | Ruth D Kalb (PSYCHOLOGIST) |
| Authorized Official Contact | 7077458906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1021 1st St Suite 5 Benicia CA 94510-3215 Ph: (707) 745-8906 | 1021 1st St Suite 5 Benicia CA 94510-3215 Ph: (707) 745-8906 |
| NPI Number | 1124141619 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124141619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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