Individual provider · NPI-1

Gabrielle Agin-Liebes, PhD

Psychologist, Clinical · Oakland, CA

NPI number1487362018
StatusActive
Last updated in NPPESDec 5, 2022

Details

NPI
1487362018
Entity type
Individual (NPI-1)
Name
Gabrielle Agin-Liebes
Credential
PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 14, 2022
Certification date
Dec 5, 2022
Last updated
Dec 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY32972CAYes

Practice location

286 Santa Clara Ave
Oakland, CA 94610-2624

Phone 510-982-5228

Mailing address

286 Santa Clara Ave
Oakland, CA 94610-2624

Phone 510-982-5228

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