BRYAN B. PORT

BERKELEY, CA
NPI1124041280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY19116)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- BRYAN B. PORT Psy.D.
2046 LINCOLN ST # 2
BERKELEY, CA 94709-2018
Phone number: 510-883-1847
Mailing Address
-- BRYAN B. PORT Psy.D.
2046 LINCOLN ST # 2
BERKELEY, CA 94709-2018
Phone number: 510-883-1847
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