| Bonds, Mathis And Associates Inc | |
|
109 White Allen Ave Dayton OH 45405-4932 | |
| (937) 277-7962 | |
| (937) 277-6067 |
| Full Name | Bonds, Mathis And Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 109 White Allen Ave, Dayton, Ohio |
| Authorized Official Name and Position | Giovanni Olivia Bonds (PRESIDENT) |
| Authorized Official Contact | 9372777962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonds, Mathis And Associates Inc 529 W Grand Ave Dayton OH 45405-4408 Ph: (937) 277-7962 | Bonds, Mathis And Associates Inc 109 White Allen Ave Dayton OH 45405-4932 Ph: (937) 277-7962 |
| NPI Number | 1467722660 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 02/21/2012 |
| Medicare PECOS PAC ID | 5193988210 |
|---|---|
| Medicare Enrollment ID | O20120529000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467722660 | NPI | - | NPPES |
| 0474526 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3055 (Ohio) | Primary |
| Provider Name | Giovanni Olivia Mathis Bonds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538164256 PECOS PAC ID: 6002079126 Enrollment ID: I20120529000428 |
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