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Individual

DR. TINA MICHELLE BONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
377 RIVERSIDE DR STE 302, FRANKLIN, TN 37064-5393
(615) 471-6154
(615) 657-7343
Mailing address
377 RIVERSIDE DR STE 302, FRANKLIN, TN 37064-5393
(615) 722-0565
(615) 583-7252

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC0000004430
TN
103K00000X
Behavior Analyst
BH001420
PA
103TC0700X
Clinical Psychologist
Primary
4070
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007288440027
PA
Enumeration date
08/04/2011
Last updated
09/05/2025
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