Individual
DR. CHRISTY L BOMMARITO
Active
Individual
DR. CHRISTY L BOMMARITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088CY
BLUE CROSS/BLUE SHIELD
TX
05
—
096568301
—
TX
Enumeration date
10/24/2005
Last updated
06/13/2024
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