Kelley Bryan Gin in Berkeley - Marriage & Family Therapist
Kelley Bryan Gin - NPI 1194870949
Kelley Bryan Gin is a Marriage & Family Therapist in Berkeley, California. Kelley Bryan Gin practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kelley Bryan Gin is 1194870949. The last update date is 2018-03-17.
Kelley Bryan Gin's current location address is 2711 Alcatraz Ave Ste 2, Berkeley, California. You can contact this provider via phone number 5102197091 and fax number 5102699031. The mailing address for Kelley Bryan Gin is 2711 Alcatraz Ave Ste 2, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Bryan Gin |
|---|---|
| Address | 2711 Alcatraz Ave Ste 2, Berkeley, California |
| Phone Number | 5102197091 |
| Fax Number | 5102699031 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1194870949 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 2711 Alcatraz Ave Ste 2 |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947052726 |
| Phone Number | 5102197091 |
| Fax Number | 5102699031 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 38529 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Kelley Bryan Gin by the Centers for Medicare & Medicaid Services (CMS)?
The Kelley Bryan Gin has been assigned the NPI (National Provider Identifier) 1194870949. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kelley Bryan Gin located?
The Kelley Bryan Gin is located at 2711 Alcatraz Ave Ste 2, Berkeley, CA 947052726.
What is Kelley Bryan Gin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelley Bryan Gin is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Kelley Bryan Gin receive its 1194870949 assignment from the Centers for Medicare & Medicaid Services?
The Kelley Bryan Gin was assigned its 1194870949 by the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date was the information regarding Kelley Bryan Gin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelley Bryan Gin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY