Organization
BONAVITACOLA PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BONAVITACOLA (OWNER)
(973) 932-0125
Entity
Organization
Contact information
Practice address
970 HADDON AVE UNIT 481, COLLINGSWOOD, NJ 08108-8024
(973) 932-0125
Mailing address
970 HADDON AVE UNIT 481, COLLINGSWOOD, NJ 08108-8024
(973) 932-0125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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