Individual
BONNIE GRACE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,ED.S.
Contact information
Practice address
1350 N ORANGE AVE, SUITE200, WINTER PARK, FL 32789-4945
(407) 644-4367
Mailing address
1134 W WINGED FOOT CIR, WINTER SPRINGS, FL 32708-4203
(407) 365-8994
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS996
LICENSED SCHOOL PSYCHOLOGIST
FL
Enumeration date
10/17/2011
Last updated
10/17/2011
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