Individual
GERALD MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 17TH ST STE 210, OAKLAND, CA 94612-1527
(510) 628-9065
Mailing address
5970 HARBORD DR, OAKLAND, CA 94611-3125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11235
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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