Individual
DIANNE E. BOHORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
(310) 547-5096
Mailing address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
(310) 547-5096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21307
CA
Other
Enumeration date
07/22/2008
Last updated
12/05/2013
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