Kelley Bryan Gin, Psyd

LBN: Kelley Bryan Gin, Psyd
Kelley Bryan Gin, Psyd is an health care organization with primary practice located at 2711 Alcatraz Ave Ste 2 , Berkeley CA 94705-2726. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kelley Bryan Gin, Psyd can be contacted via phone (510) 219-7091, or through Gin, Kelley via phone (510) 219-7091.

Contact Information

Primary practice address
2711 Alcatraz Ave Ste 2 Berkeley CA 94705-2726
Fax:
Website:
Authorized official contact:
Name: Gin, Kelley PSYD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1972072023
LBN Legal business name Kelley Bryan Gin, Psyd
DBA Doing business as
Authorized official Gin, Kelley PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2018
Last updated Nov 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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