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Individual

PAUL J. MINSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2006 DWIGHT WAY, SUITE 101, BERKELEY, CA 94704-2633
(510) 524-0700
(510) 848-8778
Mailing address
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709-2139
(510) 524-0700
(510) 848-8778

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY5981
CA
103TC0700X
Clinical Psychologist
PSY5981
CA
103TH0100X
Health Service Psychologist
PSY5981
CA

Other

Enumeration date
04/22/2007
Last updated
10/29/2010
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