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Individual

DR. CONSTANCE R BOUVIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
16152 BEACH BLVD STE 269, HUNTINGTON BEACH, CA 92647-3864
(714) 904-0874
Mailing address
4682 WARNER AVE UNIT A110, HUNTINGTON BEACH, CA 92649-3976
(714) 904-0874

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14709
CA
363A00000X
Physician Assistant
1147289
CA

Other

Enumeration date
06/27/2006
Last updated
05/05/2026
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