NPI 1003476359

Samuel Doong

Practitioner Intellectual & Developmental Disabilities Psychologist Berkeley, CA

Practice location

Address: 2514 Piedmont Ave APT 105, Berkeley, CA 94704-3108
Phone: (909) 380-3463
Mailing address: 183 Berkeley, Irvine, CA 92612-4604

Registered specialties

Intellectual & Developmental Disabilities Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TM1800X

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Registry record

NPI: 1003476359
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2019
Record last updated: 18 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.