Individual provider · Type 1 NPI

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

Clinical Psychologist · San Rafael, CA

NPI number 1851463020 Active

Practice location

1480 Lincoln Ave, #12
San Rafael, CA 94901-2084

Call (415) 457-5145 Map

Fax (415) 382-9051

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY18851 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1851463020

Christine M. Vandenbroucke-Bouckaert, PH.D.IN CLINICAL PSY's National Provider Identifier is 1851463020, issued on Nov 14, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.