Dr. Edmund Bourne, Ph.D.
Psychologist, Clinical in Novato, CA. Individual provider (NPI-1).
NPI number1104152206
StatusActive
Last updated in NPPESOct 23, 2009
Details
- NPI
- 1104152206
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edmund Bourne
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2009
- Last updated
- Oct 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY8439 | CA | Yes |
Practice location
32 Curlew WayNovato, CA 94949-6614
Phone 415-883-2370
Mailing address
32 Curlew WayNovato, CA 94949-6614
Phone 415-883-2370
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