| Bonnie Marshall, Llc | |
|
121 North Wayne Avenue Suite #300 Wayne PA 19087 | |
| (610) 574-0597 | |
| Not Available |
| Full Name | Bonnie Marshall, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 121 North Wayne Avenue, Wayne, Pennsylvania |
| Authorized Official Name and Position | Bonnie Hallett Marshall (COUNSELOR) |
| Authorized Official Contact | 6105740597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Marshall, Llc 121 North Wayne Avenue Suite #300 Wayne PA 19087 Ph: (610) 574-0597 | Bonnie Marshall, Llc 121 North Wayne Avenue Suite #300 Wayne PA 19087 Ph: (610) 574-0597 |
| NPI Number | 1710227590 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710227590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PL001959 (Pennsylvania) | Primary |
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