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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