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Individual

ARLENE BONAPACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
764 EASTON AVE, SUITE 2, SOMERSET, NJ 08873-1856
(732) 418-1122
(732) 937-8081
Mailing address
764 EASTON AVE, SUITE 2, SOMERSET, NJ 08873-1856
(732) 418-1122
(732) 937-8081

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00312000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205033560
GROUP NPI NUMBER
NJ
Enumeration date
02/23/2007
Last updated
09/10/2007
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