Individual
DR. DOUGLAS BRACKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3101 4TH AVE, SAN DIEGO, CA 92103-5802
(858) 735-1667
(619) 542-0332
Mailing address
8536 RIDGEFIELD PL, SAN DIEGO, CA 92129-3731
(858) 735-1667
(619) 542-0332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19753
CA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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