Individual
BONNY RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
4690 FULTON ST E STE 102, ADA, MI 49301-8454
(616) 425-7701
Mailing address
4060 SPRINGER WAY APT 1824, EAST LANSING, MI 48823-8340
(810) 441-1873
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361002652
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4394404
—
MI
Enumeration date
07/17/2019
Last updated
09/15/2025
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