Individual
DR. MICHAEL BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
106 MILFORD ST, SUITE 104, SALISBURY, MD 21804-6953
(410) 543-8291
(410) 341-6275
Mailing address
106 MILFORD ST, SUITE 104, SALISBURY, MD 21804-6953
(410) 543-8291
(410) 341-6275
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3523
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821701700
—
MD
Enumeration date
08/22/2006
Last updated
09/18/2012
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