Individual
GARY EVAN SHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1687
(510) 307-1615
Mailing address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1687
(510) 307-1615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21957
CA
Other
Enumeration date
01/11/2010
Last updated
12/30/2021
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