Individual
DR. TINA MICHELLE BONI
Active
Individual
DR. TINA MICHELLE BONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC0000004430
TN
103K00000X
Behavior Analyst
BH001420
PA
103T00000X
Psychologist
23633
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
06/04/2026
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