Individual
DR. EDMUND BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
32 CURLEW WAY, NOVATO, CA 94949-6614
(415) 883-2370
Mailing address
32 CURLEW WAY, NOVATO, CA 94949-6614
(415) 883-2370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8439
CA
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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