Jay Earley, PHD Valid NPI
Individual provider · Psychologist · Mill Valley, CA
- NPI
- 1932302270
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- PSY6973 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-06-06
- Last updated
- 2007-07-08
Practice location
205 Camino Alto Ct, #140
Mill Valley, CA 94941-4312
(415) 924-5256