Organization
RL BONFIGLIO PC
Active
Organization
RL BONFIGLIO PC
Active
Other names
Roxanne Bonfiglio PsyD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANNE BONFIGLIO PSY.D. (PRESIDENT)
(602) 944-0480
Entity
Organization
Contact information
Practice address
7220 N 16TH ST, SUITE G, PHOENIX, AZ 85020-5253
(602) 944-0480
(602) 944-1078
Mailing address
7220 N 16TH ST, SUITE G, PHOENIX, AZ 85020-5253
(602) 944-0480
(602) 944-1078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164405
—
AZ
Enumeration date
01/25/2007
Last updated
08/22/2020
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