Individual
ANN BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1601 WALNUT ST, #901, PHILADELPHIA, PA 19102-2944
(215) 561-7131
Mailing address
1601 WALNUT ST, #901, PHILADELPHIA, PA 19102-2944
(215) 561-7131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-004761L
PA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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