DR. Stephen A Bonfilio, PHD

NPI #1265419485 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1265419485
Entity Type: Individual
Name: DR. Stephen A Bonfilio, PHD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Dec 29, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 11455 VIKING DR
Address 2: STE 300
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-7251
Phone: (952) 993-2498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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