Individual
DR. BERNARD J BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1920 COTTMAN AVENUE, 2ND FLOOR, PHILADELPHIA, PA 19111
(215) 625-9655
(215) 625-8524
Mailing address
1218 CHESTNUT STREET SUITE 607, DR ROBIN LOWEY & ASSOCIATES, PHILADELPHIA, PA 19107
(215) 625-9655
(215) 625-8524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007488L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27063900
MAGELLAN
PA
01
—
B0793861
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/11/2006
Last updated
07/08/2007
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