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Individual
SUSAN BOOKHEIMER
Active
Individual
SUSAN BOOKHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY14229
CA
103TC0700X
Clinical Psychologist
Primary
PSY14229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY142290
—
CA
Enumeration date
07/06/2006
Last updated
12/18/2019
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