Most Relevant Information
Provider Data
NPI Number: | 1003476359 |
Provider Name: | SAMUEL DOONG |
Entity Type: | Individual |
Taxonomy Code: | 103TM1800X |
Specialty: | Psychologist |
License Number: |
Most Important Dates
Enumeration Date: | 06/18/2019 |
Last Updated: | 06/18/2019 |
Provider Practice Location
2514 PIEDMONT AVE APT 105
BERKELEY
CA
947043108
Practice Location Phone/Fax
Phone: | 9093803463 |
Fax: |
Provider Mailing Location
183 BERKELEY
IRVINE
CA
926124604
Provider Mailing Phone/Fax
Phone: | 9093803463 |
Fax: |