| Bonnie Slade Ph.d. P.a. | |
|
1555 Port Malabar Blvd. Suite 104 Palm Bay FL 32958 | |
| (321) 729-0870 | |
| (321) 952-2516 |
| Full Name | Bonnie Slade Ph.d. P.a. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1555 Port Malabar Blvd., Palm Bay, Florida |
| Authorized Official Name and Position | Bonnie Slade (PRESIDENT) |
| Authorized Official Contact | 3217290870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Slade Ph.d. P.a. 1555 Port Malabar Blvd. Suite 104 Palm Bay FL 32958 Ph: (321) 729-0870 | Bonnie Slade Ph.d. P.a. 1555 Port Malabar Blvd. Suite 104 Palm Bay FL 32958 Ph: (321) 729-0870 |
| NPI Number | 1629480231 |
|---|---|
| Provider Enumeration Date | 05/30/2014 |
| Last Update Date | 05/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629480231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY002036 (Florida) | Primary |
Abundant Life Centers Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2475 Palm Bay Rd Ne Ste 145-23, Palm Bay, FL 32905 Phone: 321-345-6831 | |
Blue Iris Behavioral Services Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4640 Lipscomb St Ne Ste 4, Palm Bay, FL 32905 Phone: 321-537-4467 | |
Socially Significant Applied Behavior Analysis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Feldman St Se, Palm Bay, FL 32909 Phone: 321-750-9803 | |
Making Strides Aba Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4651 Babcock St Ne, Ste 18, Palm Bay, FL 32905 Phone: 321-338-3936 | |
Bayside Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 Hallendale Ave Sw, Palm Bay, FL 32908 Phone: 321-616-5727 | |
Bayside Recoery And Wellness Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1501 Robert J Conlan Blvd Ne Ste 7, Palm Bay, FL 32905 Phone: 321-372-6897 Fax: 321-372-6896 | |
New Way Counseling Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4670 Lipscomb St Ne Ste 2, Palm Bay, FL 32905 Phone: 321-312-1666 Fax: 321-733-1860 |