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Individual

DR. BRIAN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
243 GEORGIA ST STE B, VALLEJO, CA 94590-5905
(707) 551-1348
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-3655
(510) 535-4225

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
Primary
PSY24607
CA
103TH0100X
Health Service Psychologist
PSY 24607
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC70543G
CA
Enumeration date
08/01/2007
Last updated
08/12/2013
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