Provider Demographics
NPI:1477713394
Name:CLEARY, BRIAN DAMIEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DAMIEN
Last Name:CLEARY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 23RD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3030
Mailing Address - Country:US
Mailing Address - Phone:415-835-4751
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST STE 1019
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2905
Practice Address - Country:US
Practice Address - Phone:415-824-1785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18824103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist