Individual
MAR CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4300
(510) 642-9494
Mailing address
PO BOX 461, SAN LORENZO, CA 94580-0461
(510) 590-6201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33470
CA
Other
Enumeration date
04/20/2020
Last updated
02/03/2023
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