Individual
DR. LEEANNE HOMBURGER BONNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8868
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017449
NY
103TS0200X
School Psychologist
1476177
NY
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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