Individual
DR. BONNY J. FORREST
Active
Individual
DR. BONNY J. FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
353
DC
103TB0200X
Cognitive & Behavioral Psychologist
353
DC
103TC2200X
Clinical Child & Adolescent Psychologist
353
DC
103TF0200X
Forensic Psychologist
353
DC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
353
DC
103TP2701X
Group Psychotherapy Psychologist
353
DC
Other
Enumeration date
04/17/2007
Last updated
08/18/2008
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