Individual
MRS. BONNIE LYN BLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,P.D.
Contact information
Practice address
105 CLOVER DR, PUPIL PERSONNEL SERVICES-GREAT NECK PUBLIC SCHOOLS, GREAT NECK, NY 11021-1031
(516) 441-4970
(516) 441-4270
Mailing address
105 CLOVER DR, PUPIL PERSONNEL SERVICES-GREAT NECK PUBLIC SCHOOLS, GREAT NECK, NY 11021-1031
(516) 441-4970
(516) 441-4270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000038-1
—
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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