Individual
DR. BONNIE LYNN MASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
530 WILSHIRE BLVD, SUITE 209, SANTA MONICA, CA 90401-1421
(310) 395-5005
Mailing address
530 WILSHIRE BLVD, SUITE 209, SANTA MONICA, CA 90401-1421
(310) 395-5005
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12692
CA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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