| 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 |
|---|---|
| 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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