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Individual

DR. AVRILLE BIRNBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1019 47TH ST UPPR UNIT, EMERYVILLE, CA 94608-3315
(510) 593-8942
Mailing address
1019 47TH ST UPPR UNIT, EMERYVILLE, CA 94608-3315
(510) 593-8942

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31005
CA

Other

Enumeration date
06/18/2019
Last updated
11/19/2020
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