Dr. Mark Nadeau Bohner, Ph.D.
Psychologist, Clinical in Vacaville, CA. Individual provider (NPI-1).
NPI number1891983136
StatusActive
Last updated in NPPESOct 11, 2007
Details
- NPI
- 1891983136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Nadeau Bohner
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2007
- Last updated
- Oct 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY13647 | CA | Yes |
Practice location
595 Buck Ave Ste GVacaville, CA 95688-3642
Phone 707-246-3585
Mailing address
607 Elmira Rd # 321Vacaville, CA 95687-4655
Phone 707-246-3585
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