Organization
BODYLOGICS HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BROWN (CLINICAL PSYCHOLOGIST)
(626) 589-9600
Entity
Organization
Contact information
Practice address
12730 FOOTHILL BLVD., UNIT 102, RANCHO CUCAMONGA, CA 91739
(909) 438-7005
Mailing address
12730 FOOTHILL BLVD., UNIT 102, RANCHO CUCAMONGA, CA 91739
(909) 438-7005
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/23/2011
Last updated
02/06/2012
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