Individual
DR. BONNIE HELENE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11500 W OLYMPIC BLVD, SUITE 500, LOS ANGELES, CA 90064-1524
(310) 473-5363
(310) 478-6698
Mailing address
11500 W OLYMPIC BLVD, SUITE 500, LOS ANGELES, CA 90064-1524
(310) 473-5363
(310) 478-6698
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 11887
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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