Provider Demographics
NPI:1720301070
Name:YEE, BONNIE F
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:F
Last Name:YEE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:BONNIE
Other - Middle Name:
Other - Last Name:YEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:4281 KATELLA AVE
Mailing Address - Street 2:SUITE #122
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3500
Mailing Address - Country:US
Mailing Address - Phone:714-229-9900
Mailing Address - Fax:714-229-9959
Practice Address - Street 1:4281 KATELLA AVE
Practice Address - Street 2:SUITE #122
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3500
Practice Address - Country:US
Practice Address - Phone:714-229-9900
Practice Address - Fax:714-229-9959
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22076103TC0700X, 103TC2200X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities