Individual
BONNIE JO CHRISTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
16858 CLARK ST, ENCINO, CA 91436-1066
(818) 674-2502
Mailing address
PO BOX 260088, ENCINO, CA 91426-0088
(818) 879-7777
(877) 351-2003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY15532
CA
103TC0700X
Clinical Psychologist
PY2971
WA
103TP2701X
Group Psychotherapy Psychologist
PSY15532
CA
106H00000X
Marriage & Family Therapist
MFT381
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-456936
FEDERAL ID NUMBER
CA
Enumeration date
02/22/2007
Last updated
04/16/2015
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