Individual
DR. BETHANY R MAGNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
630 E RIALTO AVE, SAN BERNARDINO, CA 92408-1292
(909) 386-0904
(909) 386-0912
Mailing address
6713 INDIANA AVE, PMB #24, RIVERSIDE, CA 92506-4263
(951) 756-2440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22581
CA
106H00000X
Marriage & Family Therapist
MFT41649
CA
Other
Enumeration date
04/16/2007
Last updated
07/11/2012
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