Individual
DR. BRYAN W BOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
208 CASABLANCA AVE., 27 SGOMH, CANNON AFB, NM 88101-5014
(575) 784-1108
(575) 784-4624
Mailing address
77 NEALY AVE, LANGLEY AFB, VA 23665-2040
(757) 764-6840
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003930
WA
Other
Enumeration date
09/29/2008
Last updated
03/07/2025
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