| Doctor Name: | DR. BOUKJE ELISABETH EERKENS |
| NPI Number: | 1033386768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY20001 |
| Business Practice Address: | 700 E St Ste 207 San Rafael, CA - 949012756 |
| Business Phone Number: | 4152723406 |
| Business Fax Number: | |
| Mailing Address: | 700 E St Ste 207, SAN RAFAEL |
| State: | CA |
| Postal Code: | 949012756 |
| Phone Number: | 4152723406 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 05/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PSY20001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |