Individual
DR. BONNIE JO PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8062 ORTONVILLE RD, CLARKSTON, MI 48348-4456
(248) 625-2970
Mailing address
8864 BIG LAKE RD, CLARKSTON, MI 48346-1010
(248) 922-9222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013183
MI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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