| Bonsall Manfredi & Assoc, P.c. | |
|
2600 Woodlawn Street Harrisburg PA 17111 | |
| (717) 221-0711 | |
| (717) 221-0435 |
| Full Name | Bonsall Manfredi & Assoc, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2600 Woodlawn Street, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Eric K. Bonsall (BOARD CERTIFIED CHILD/ADOLESCENT PS) |
| Authorized Official Contact | 7172210711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonsall Manfredi & Assoc, P.c. 5a Melron Court Carlisle PA 17013 Ph: (717) 221-0711 | Bonsall Manfredi & Assoc, P.c. 2600 Woodlawn Street Harrisburg PA 17111 Ph: (717) 221-0711 |
| NPI Number | 1083983019 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083983019 | NPI | - | NPPES |
| 1210002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD036799E (Pennsylvania) | Primary |
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