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Organization

KATHRYN A.BOURKE, PSY. D., INC.

Active
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Organization

KATHRYN A.BOURKE, PSY. D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN A. BOURKE PSY. D. (OWNER/PRESIDENT)
(209) 384-8808
Entity
Organization

Contact information

Practice address
436 W 20TH ST, MERCED, CA 95340-3714
(209) 384-8808
Mailing address
PO BOX 2743, MERCED, CA 95344-0743
(209) 384-8808

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 16571
CA
261QM0850X
Adult Mental Health Clinic/Center
PSY 16571
CA

Other

Enumeration date
10/30/2010
Last updated
03/23/2011
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