Individual
DR. BRIAN L IMBER
Active
Individual
DR. BRIAN L IMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61027314
WA
103TC0700X
Clinical Psychologist
Primary
PSY32640
CA
246ZE0500X
EEG Specialist/Technologist
LH61027314
WA
246ZE0500X
EEG Specialist/Technologist
PSY32640
CA
Other
Enumeration date
08/05/2017
Last updated
09/12/2021
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