Individual
TAYLOR BONANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1501 LEE HWY STE 130, ARLINGTON, VA 22209-1109
(609) 462-4148
Mailing address
1111 BELLE PRE WAY APT 437, ALEXANDRIA, VA 22314-6420
(609) 462-4148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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