Individual
LISA BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATR
Contact information
Practice address
2495 MAIN ST, SUITE 412, BUFFALO, NY 14214-2152
(716) 862-0367
(716) 862-0368
Mailing address
525 WASHINGTON ST, BUFFALO, NY 14203-1711
(716) 856-4494
(716) 842-1277
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
ATR 90168
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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