Individual
DR. BONNIE SUE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
604 S 10TH ST, PHILADELPHIA, PA 19147-1918
(215) 923-4322
(215) 928-1274
Mailing address
604 S 10TH ST, PHILADELPHIA, PA 19147-1918
(215) 923-4322
(215) 928-1274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003693L
PA
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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