Individual
JUDITH L. BONNAURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HAZEL LANE, SUITE 300, SEWICKLEY, PA 15071
(412) 749-7330
(412) 749-7339
Mailing address
7317 NOBLESTOWN RD, OAKDALE, PA 15071-1905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008006L
PA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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