| Bonavitacola Psychological Services, Llc | |
|
970 Haddon Ave Unit 481 Collingswood NJ 08108-8024 | |
| (973) 932-0125 | |
| Not Available |
| Full Name | Bonavitacola Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 970 Haddon Ave Unit 481, Collingswood, New Jersey |
| Authorized Official Name and Position | Lauren Bonavitacola (OWNER) |
| Authorized Official Contact | 9739320125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonavitacola Psychological Services, Llc 970 Haddon Ave Unit 481 Collingswood NJ 08108-8024 Ph: (973) 932-0125 | Bonavitacola Psychological Services, Llc 970 Haddon Ave Unit 481 Collingswood NJ 08108-8024 Ph: (973) 932-0125 |
| NPI Number | 1235906645 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235906645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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