SearchCalifornia1041C0700X

Crystal Bettenhausen-Bubulka, HI LCSW 4606

NPI 1790377067 · on the registry since 2021 · sole proprietor

Practice

Address
1050 Kettner Blvd Ste D
San Diego, CA 92101
Phone
(808) 319-7896
Organisation at this address
Theralingual Speech Pathology Inc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 74 Kihapai St, Kailua, HI

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
HI, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California