Organization
BONNIE KRUEGER, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE KRUEGER PH.D. (PSYCHOLOGIST)
(323) 356-4577
Entity
Organization
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
103TC0700X
Clinical Psychologist
Primary
PSY16400
CA
Other
Enumeration date
06/21/2007
Last updated
04/12/2012
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