Individual
SAMUEL DOONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2514 PIEDMONT AVE APT 105, BERKELEY, CA 94704-3108
(909) 380-3463
Mailing address
183 BERKELEY, IRVINE, CA 92612-4604
(909) 380-3463
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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