Dr. Christine M Vandenbroucke-Bouckaert, PHDINCLINICALPSY
Dr. Christine M Vandenbroucke-Bouckaert, PHDINCLINICALPSY is a Clinical Psychologist in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1480 Lincoln Ave #12San Rafael, CA 94901-2084
Phone: (415) 457-5145
Fax: (415) 382-9051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY18851 (CA) |
|---|
Record details
| NPI number | 1851463020 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHDINCLINICALPSY |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2006 |
| Last updated in NPPES | July 8, 2007 |
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