Individual
DR. BRUCE BONGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1001 BRIDGEWAY, #311, SAUSALITO, CA 94965-2104
(415) 215-3797
Mailing address
1001 BRIDGEWAY, #311, SAUSALITO, CA 94965-2104
(415) 215-3797
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5669
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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