Individual
ANTHONY PAUL BONAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 DE LA VINA ST, SANTA BARBARA, CA 93101-3129
(805) 708-3346
Mailing address
PO BOX 23044, SANTA BARBARA, CA 93121-3044
(805) 708-3346
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31286
CA
Other
Enumeration date
08/27/2012
Last updated
02/01/2022
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