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Individual

DR. MARK WILLIAM BONDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3350 LA JOLLA VILLAGE DR, VA SAN DIEGO HEALTHCARE SYSTEM (116B), SAN DIEGO, CA 92161-0002
(858) 552-8585
(858) 642-1218
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 534-6200

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13383
CA
103T00000X
Psychologist
PSY13383
CA
103TA0700X
Adult Development & Aging Psychologist
103TC0700X
Clinical Psychologist
PSY13383
CA

Other

Enumeration date
07/07/2006
Last updated
07/27/2016
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