Individual
TIMOTHY J BONNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
330 SW OAKLEY AVE, TOPEKA, KS 66606-1995
(785) 273-2252
Mailing address
5401 SW 7TH ST, TOPEKA, KS 66606-2330
(785) 273-2252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
218
KS
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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