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Individual

DR. BRIAN WAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
1940 FRANCISCAN WAY, ALAMEDA, CA 94501-6007
(510) 213-8328
Mailing address
1940 FRANCISCAN WAY, ALAMEDA, CA 94501-6007

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35499
CA
324500000X
Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R1290620218
AOD COUNSELOR
CA
01
R1290620218
CLINICIAN
Enumeration date
02/21/2018
Last updated
11/27/2024
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