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Organization

BONNIE PARKER PSYD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BONNIE JO PARKER PSYD (PSYCHOLOGIST)
(248) 922-9222
Entity
Organization

Contact information

Practice address
8864 BIG LAKE RD, CLARKSTON, MI 48346-1010
(248) 922-9222
(248) 922-9222
Mailing address
8864 BIG LAKE RD, CLARKSTON, MI 48346-1010
(248) 922-9222
(248) 922-9222

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301013183
MI

Other

Enumeration date
12/31/2013
Last updated
12/31/2013
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