Individual
DR. CHRISTY C BANTUGAN-BOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5665 OBERLIN DR, SUITE 201, SAN DIEGO, CA 92121-1737
(760) 652-4035
(760) 652-4035
Mailing address
5665 OBERLIN DR, SUITE 201, SAN DIEGO, CA 92121-1737
(760) 652-4035
(760) 652-4035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 14498
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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