Kaminker, Jacob

Kaminker, Jacob is an individual health care provider with primary practice located at 3036 Regent St , Berkeley CA 94705-2551. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kaminker, Jacob can be contacted via phone (510) 995-6358.

Contact Information

Primary practice address
3036 Regent St Berkeley CA 94705-2551
Phone: (510) 995-6358
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 26445 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY 26445 California

Profile Details

NPI number 1700102977
LBN Legal business name Kaminker, Jacob
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Jul 8th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700102977 NPPES
California Other PSY 26445 LICENSED CLINICAL PSYCHOLOGIST

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