Bonnie Nell Wise is a Clinical in Long Beach, California. Bonnie Nell Wise practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie Nell Wise is 1053537712. The last update date is 2007-07-08.
Bonnie Nell Wise's current location address is 2017 Palo Verde Ave, Long Beach, California. You can contact this provider via phone number 3106005436 and fax number 5625969126. The mailing address for Bonnie Nell Wise is 2017 Palo Verde Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Nell Wise |
|---|---|
| Address | 2017 Palo Verde Ave, Long Beach, California |
| Phone Number | 3106005436 |
| Fax Number | 5625969126 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1053537712 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2017 Palo Verde Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908153300 |
| Phone Number | 3106005436 |
| Fax Number | 5625969126 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14213 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Bonnie Nell Wise?
The Bonnie Nell Wise has been issued the NPI (National Provider Identifier) 1053537712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bonnie Nell Wise's facilities are geographically located?
The facilities of Bonnie Nell Wise are physically situated at the following location: 2017 Palo Verde Ave, Long Beach, CA, 908153300.
What is the Bonnie Nell Wise's specialty and taxonomy code?
The Bonnie Nell Wise's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Bonnie Nell Wise receive the assignment of its 1053537712 from the Centers for Medicare & Medicaid Services?
The Bonnie Nell Wise was issued its 1053537712 by the Centers for Medicare & Medicaid Services on 2007-04-18.
When was the information regarding Bonnie Nell Wise, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bonnie Nell Wise, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC