Christine M Vandenbroucke-bouckaert PH.D.IN CLINICAL PSY

NPI 1851463020 - Psychologist - 103TC0700X

NPI Details
NPI 1851463020
Gender Female
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1480 LINCOLN AVE
#12
SAN RAFAEL CA, 94901-2084, US
Phone (415) 457-5145
Fax (415) 382-9051
Business Location
1480 LINCOLN AVE
#12
SAN RAFAEL CA, 94901-2084, US
Phone (415) 457-5145
Fax (415) 382-9051
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY18851
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According to our database, Dr. Christine M Vandenbroucke-bouckaert PH.D.IN CLINICAL PSY NPI is 1851463020, taxonomy code is 103TC0700X and license number is PSY18851, license state is located at California. Christine M Vandenbroucke-bouckaert PH.D.IN CLINICAL PSY physically located at 1480 Lincoln Ave, San Rafael CA, 94901-2084. NPI Number Christine M Vandenbroucke-bouckaert PH.D.IN CLINICAL PSY has the Individual type.

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1851463020 NPI number is provided on an as is basis without warranty of any kind. 1851463020 is maintained by the National Plan & Provider Enumeration System. The contents of Christine M Vandenbroucke-bouckaert PH.D.IN CLINICAL PSY are for informational purposes only.