Gin, Kelley Bryan

Gin, Kelley Bryan is an sole proprietor health care provider with primary practice located at 2711 Alcatraz Ave Ste 2 , Berkeley CA 94705-2726. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gin, Kelley Bryan can be contacted via phone (510) 219-7091.

Contact Information

Primary practice address
2711 Alcatraz Ave Ste 2 Berkeley CA 94705-2726
Phone: (510) 219-7091
Fax: (510) 269-9031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 38529 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20624 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 20624 California

Profile Details

NPI number 1194870949
LBN Legal business name Gin, Kelley Bryan
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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