Bonavitacola Psychological Services, LLC
NPI #1235906645 in Collingswood, New Jersey
Provider Information
- NPI Number
- 1235906645
- Entity Type
- Organization
- Organization Name
- Bonavitacola Psychological Services, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Dec 6, 2023
- Last Updated
- Dec 6, 2023
Practice Location
- Address
- 970 HADDON AVE UNIT 481
- City
- Collingswood
- State
- New Jersey
- ZIP Code
- 08108-8024
- Phone
- (973) 932-0125
Authorized Official
- Name
- LAUREN BONAVITACOLA
- Title
- OWNER
- Phone
- (973) 932-0125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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