Individual
DR. BRUCE BOWER JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
30100 CROWN VALLEY PKWY, SUITE 17, LAGUNA NIGUEL, CA 92677-2041
(949) 224-9072
(949) 429-8723
Mailing address
26000 AVENIDA AEROPUERTO, #216, SAN JUAN CAPISTRANO, CA 92675-4720
(949) 224-9072
(949) 429-8723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14156
CA
Other
Enumeration date
01/22/2007
Last updated
07/09/2007
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