Individual
BONITA M PEDROSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
675 PEARSON ST, FERNDALE, MI 48220-3302
(248) 543-4194
Mailing address
675 PEARSON ST, FERNDALE, MI 48220-3302
(248) 543-4194
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301011301
MI
103TC0700X
Clinical Psychologist
Primary
6301011301
MI
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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