Individual
DR. BROOKE ELIZABETH BOMBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3301 E 12TH ST, STE 259, OAKLAND, CA 94601-3424
(510) 269-9030
Mailing address
3301 E 12TH ST, SUITE 259, OAKLAND, CA 94601-3424
(415) 889-3369
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23648
CA
Other
Enumeration date
05/29/2007
Last updated
05/22/2015
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