Individual
MARY L BONSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 456-2382
(214) 456-6133
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-7000
(214) 456-6133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34498
TX
2080P0207X
Pediatric Hematology & Oncology Physician
34498
TX
Other
Enumeration date
03/21/2011
Last updated
10/07/2016
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