Individual
DR. GEORGE KICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1409 EDITH ST, BERKELEY, CA 94703-1121
(510) 508-6547
Mailing address
1409 EDITH ST, BERKELEY, CA 94703-1121
(510) 527-1894
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9540
CA
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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