Individual
DR. KELLY LEIGH EDYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8711 MACARTHUR BLVD, OAKLAND, CA 94605-4000
(510) 428-3556
Mailing address
8711 MACARTHUR BLVD, OAKLAND, CA 94605-4000
(510) 428-3556
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY33603
CA
Other
Enumeration date
08/02/2021
Last updated
05/11/2023
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