Individual
BONNIE GRACE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, NCSP, PPS
Contact information
Practice address
3400 N MAIN ST, SOQUEL, CA 95073-2212
(831) 464-5650
Mailing address
620 MONTEREY AVE, CAPITOLA, CA 95010-3618
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
230149580
CA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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