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Organization

BANYAN PSYCHOLOGY INC.

Active
Other names
Banyan Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM CHAN PSY.D. (PRESIDENT)
(650) 667-7193
Entity
Organization

Contact information

Practice address
877 MAHLER RD STE 160, BURLINGAME, CA 94010-1640
(650) 822-1057
(650) 563-5570
Mailing address
877 MAHLER RD STE 160, BURLINGAME, CA 94010-1640
(650) 822-1057
(650) 563-5570

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103TC1900X
Counseling Psychologist
2084P0800X
Psychiatry Physician

Other

Enumeration date
05/25/2023
Last updated
05/23/2025
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