DR. Stanley Bodner, PH.D.

NPI #1851385546 in Brooklyn, New York

Provider Information

NPI Number: 1851385546
Entity Type: Individual
Name: DR. Stanley Bodner, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Sep 8, 2005
Last Updated: May 7, 2013

Practice Location

Address: 1579 E 29TH ST
City: Brooklyn
State: New York
ZIP Code: 11229-1846
Phone: (718) 339-4916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist	103T00000X	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X

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