Provider / Organization | NPI | Date Certified |
---|---|---|
GINA YU KWON | 1720367311 | 2023-02-12 |
Gina Yu Kwon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720367311. Registration indicates Gina Yu Kwon is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Dr. Gina Yu Kwon PSYD |
Practice Office Address | 2970 CAMINO DIABLO STE 300 WALNUT CREEK, CA US |
Practice Office Telephone | 9252821778 |
Mailing Address | 2970 CAMINO DIABLO STE 300 WALNUT CREEK, CA 945974001 US |
Business Telephone | 9252821778 |
Code | Practice | License No State |
---|---|---|
103T00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | PSY28137
CA |