Organization
THOMAS O. BONNER, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O. BONNER PH.D. (PRESIDENT)
(305) 595-1616
Entity
Organization
Contact information
Practice address
9480 SW 77TH AVE, MIAMI, FL 33156-7903
(305) 595-1616
(305) 595-7272
Mailing address
9480 SW 77TH AVE, MIAMI, FL 33156-7903
(305) 595-1616
(305) 595-7272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2826
FL
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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