Edickson Bonilla in Allentown - Mental Health

Edickson Bonilla - NPI 1649450131

Edickson Bonilla is a Mental Health in Allentown, Pennsylvania. Edickson Bonilla practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Edickson Bonilla is 1649450131. The last update date is 2007-11-13.

Edickson Bonilla's current location address is 2030 W Tilghman St, Allentown, Pennsylvania. You can contact this provider via phone number 4842219136 and fax number 4842219130. The mailing address for Edickson Bonilla is 2030 W Tilghman St, Allentown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Edickson Bonilla
Address 2030 W Tilghman St, Allentown, Pennsylvania
Phone Number 4842219136
Fax Number 4842219130
Sole Proprietor N
Credentials MA

NPI Number Detail

NPI Number 1649450131
Provider Enumeration Date 2007-11-13
Last Updated Date 2007-11-13

Provider Mailing Address Detail

Address 2030 W Tilghman St
City Allentown
State Pennsylvania (PA)
Post Code 181044354
Phone Number 4842219136
Fax Number 4842219130

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Edickson Bonilla

What is the unique provider identifier assigned to Edickson Bonilla?

The Edickson Bonilla has been issued the NPI (National Provider Identifier) 1649450131 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Edickson Bonilla is physically located?

The Edickson Bonilla is situated at the following address: 2030 W Tilghman St, Allentown, PA 181044354.

What is Edickson Bonilla's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Edickson Bonilla's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.

On what date was the 1649450131 assigned to Edickson Bonilla?

The Edickson Bonilla was issued its 1649450131 on 2007-11-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Edickson Bonilla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Edickson Bonilla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-13.

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