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Individual

DR. JONATHAN BRIAN GAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
10319 STONEHAM ST, BAKERSFIELD, CA 93314
(661) 549-5699
(661) 427-0220
Mailing address
10319 STONEHAM ST, BAKERSFIELD, CA 93314-8032
(661) 549-5699
(661) 427-0220

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LEP3210
CA
103TS0200X
School Psychologist
Primary
LEP3210
CA

Other

Enumeration date
03/05/2007
Last updated
08/02/2018
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