Organization
HOLLI L BODNER PSY D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLI L BODNER PSY D (OWNER)
(941) 351-8333
Entity
Organization
Contact information
Practice address
51 WALLACE AVE, SARASOTA, FL 34237-6025
(941) 351-8333
(941) 359-3148
Mailing address
51 WALLACE AVE, SARASOTA, FL 34237-6025
(941) 351-8333
(941) 359-3148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004288
FL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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