Individual
DR. JORDAN THOMAS BONOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
975 KIRMAN AVENUE (116), RENO, NV 89502
(775) 326-2920
Mailing address
975 KIRMAN AVENUE (116), RENO, NV 89502
(775) 326-2920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0740
NV
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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