Individual
DR. BONNIE KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5015 EAGLE ROCK BLVD, SUITE 200, LOS ANGELES, CA 90041-2085
(323) 356-4577
Mailing address
1567 HAZELWOOD AVE, LOS ANGELES, CA 90041-3315
(323) 356-4577
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16400
CA
103TC0700X
Clinical Psychologist
PSY16400
CA
Other
Enumeration date
06/20/2007
Last updated
01/20/2017
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