Christine Vandenbroucke-Bouckaert, PH.D.IN CLINICAL PSY

NPI 1851463020 · on the registry since 2006 · sole proprietor

Practice

Address: 1480 Lincoln Ave
#12
San Rafael, CA 94901
Phone: (415) 457-5145
Fax: (415) 382-9051
Organisation at this address: Sonoma Psycho-Oncology
Child Therapy Institute Of Marin
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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