Individual
DR. DIANE ROSE MICHALIK-BONNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3 S MARKET ST, SELINSGROVE, PA 17870-1801
(570) 374-4305
(570) 374-4305
Mailing address
3 S MARKET ST, SELINSGROVE, PA 17870-1801
(570) 374-4305
(570) 374-4305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006150-L
PA
Other
Enumeration date
01/24/2006
Last updated
09/06/2023
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