Individual
ANALISA BUBLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 PASADENA AVE, SOUTH PASADENA, CA 91030-2947
(323) 274-3065
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
08/30/2023
Last updated
09/12/2023
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