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Individual

DR. BONNIE NELL WISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3353 LINDEN AVE, LONG BEACH, CA 90807-4503
(562) 596-4002
Mailing address
630 OBISPO AVE, LONG BEACH, CA 90814-1447
(562) 596-4002

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14213
CA

Other

Enumeration date
04/18/2007
Last updated
03/22/2025
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