Individual
BONNIE LEE COMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
310 CAMINO DE LA PLACITA, TAOS, NM 87571-5951
(575) 737-6115
Mailing address
435 CURRY DR, FERNLEY, NV 89408-8507
(775) 720-3054
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
350408
NM
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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