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Individual

DR. GUY ALBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3120 TELEGRAPH AVE STE 4, BERKELEY, CA 94705-1964
(510) 496-3447
Mailing address
1918 BONITA AVE STE 203, BERKELEY, CA 94704-1014
(510) 496-3447

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY20961
CA
103TP0814X
Psychoanalysis Psychologist
Primary
PSY20961
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PL209610
MEDICARE PPIN
CA
Enumeration date
11/27/2006
Last updated
03/18/2022
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