Individual
DR. JASON EDWARD BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
508 FULTON STREET, DURHAM, NC 27705
(919) 286-0411
Mailing address
508 FULTON STREET, DURHAM, NC 27705
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
4298
NC
Other
Enumeration date
08/07/2012
Last updated
07/17/2025
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