Individual
DR. ALVIN R. KUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1201 NE 7TH ST, SUITE C, GRANTS PASS, OR 97526-1451
(541) 450-5676
Mailing address
1201 NE 7TH STREET, SUITE C, GRANTS PASS, OR 97526
(541) 450-5676
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1979
OR
103TB0200X
Cognitive & Behavioral Psychologist
PSY6938
CA
Other
Enumeration date
05/23/2007
Last updated
08/19/2010
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