Individual
ANATASIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2728 DURANT AVE, BERKELEY, CA 94704-1725
(510) 551-6365
Mailing address
2728 DURANT AVE, BERKELEY, CA 94704-1725
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY19191
CA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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