Individual
DR. BARBARA ELLEN BOGORAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
18600 MAIN ST, HUNTINGTON BEACH, CA 92648
(714) 914-0409
(714) 827-9497
Mailing address
8707 BELMONT ST, CYPRESS, CA 90630-6004
(714) 914-0409
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY 19154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01064891
—
NY
01
—
11584463
CAQH
CA
Enumeration date
07/20/2006
Last updated
04/20/2022
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