Joan Bullock PH.D.

NPI 1699928051 - Psychologist - 103TC0700X

NPI Details
NPI 1699928051
Gender Female
Enumeration Date 10/29/2008
Last Updated 10/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
450 BAUCHET ST
LOS ANGELES CA, 90012-2907, US
Phone (213) 473-1739
Fax (213) 472-9005
Business Location
450 BAUCHET ST
LOS ANGELES CA, 90012-2907, US
Phone (213) 473-1739
Fax (213) 472-9005
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY18434
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According to our database, Dr. Joan Bullock PH.D. NPI is 1699928051, taxonomy code is 103TC0700X and license number is PSY18434, license state is located at California. Joan Bullock PH.D. physically located at 450 Bauchet St, Los Angeles CA, 90012-2907. NPI Number Joan Bullock PH.D. has the Individual type.

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1699928051 NPI number is provided on an as is basis without warranty of any kind. 1699928051 is maintained by the National Plan & Provider Enumeration System. The contents of Joan Bullock PH.D. are for informational purposes only.