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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLEY BRYAN GIN, PSYD

Active Sole Proprietor

Psychologist · BERKELEY, CA

Registration Details

NPI Number
1194870949
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2007 (19.26753880098 yrs)
Last Updated
Mar 17, 2018
Licenses
MFC 38529 (CA)
20624 (CA)
PSY 20624 (CA)
Sole Proprietor
Yes

Practice Information

Address
2711 ALCATRAZ AVE STE 2
BERKELEY, CA, 947052726
Browse CA providers · Browse ZIP 94705
Phone
5102197091
Fax
5102699031
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist

Other Psychologist Providers in BERKELEY, CA

Name Credential NPI
DR. PATRICIA G DITTON PH.D. 1376542985
DR. MARGARET MULLALY NEMIROW PH.D. 1720066863
DR. LAWRENCE JONAS YABROFF PH.D. 1780641241
MARGRET KELLY PHD 1669424867
DR. EVA BRADFORD PH.D. 1881629889
TENLI YAVNEH PSYCHOLOGIST 1326072596
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.