Shelley Galasso Bonanno in Clinton Township - Clinical
Shelley Galasso Bonanno - NPI 1053411785
Shelley Galasso Bonanno is a Clinical in Clinton Township, Michigan. Shelley Galasso Bonanno practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelley Galasso Bonanno is 1053411785. The last update date is 2007-07-08.
Shelley Galasso Bonanno's current location address is 36975 Utica Road, Clinton Township, Michigan. You can contact this provider via phone number 5862263440 and fax number 5862263672. The mailing address for Shelley Galasso Bonanno is 36975 Utica Road, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley Galasso Bonanno |
|---|---|
| Address | 36975 Utica Road, Clinton Township, Michigan |
| Phone Number | 5862263440 |
| Fax Number | 5862263672 |
| Sole Proprietor | N |
| Credentials | MA LLP |
NPI Number Detail
| NPI Number | 1053411785 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 36975 Utica Road |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 48036 |
| Phone Number | 5862263440 |
| Fax Number | 5862263672 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301006934 |
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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 |
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What is the unique 10-digit identifier code assigned to Shelley Galasso Bonanno by the Centers for Medicare & Medicaid Services?
The Shelley Galasso Bonanno has been issued the NPI (National Provider Identifier) 1053411785 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shelley Galasso Bonanno is located?
The Shelley Galasso Bonanno is situated at the following address: 36975 Utica Road, Clinton Township, MI, 48036.
What is Shelley Galasso Bonanno's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shelley Galasso Bonanno is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053411785 to Shelley Galasso Bonanno?
The Centers for Medicare & Medicaid Services assigned the 1053411785 to Shelley Galasso Bonanno on 2006-09-23.
As of what date was the information regarding Shelley Galasso Bonanno, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shelley Galasso Bonanno, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.