Individual
DR. JAY EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
205 CAMINO ALTO CT, #140, MILL VALLEY, CA 94941-4312
(415) 924-5256
Mailing address
140 MARINA VISTA AVE, LARKSPUR, CA 94939-2142
(415) 924-5256
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6973
CA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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