Carl Albert Bonacci in Phoenix - Adult Development & Aging

Carl Albert Bonacci - NPI 1659488583

Carl Albert Bonacci is a Adult Development & Aging in Phoenix, Arizona. Carl Albert Bonacci practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Carl Albert Bonacci is 1659488583. The last update date is 2007-07-09.

Carl Albert Bonacci's current location address is 1349 E Colter St, Phoenix, Arizona. You can contact this provider via phone number 9282574897 and fax number 8665341701. The mailing address for Carl Albert Bonacci is 1349 E Colter St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Carl Albert Bonacci
Address 1349 E Colter St, Phoenix, Arizona
Phone Number 9282574897
Fax Number 8665341701
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1659488583
Provider Enumeration Date 2006-08-24
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1349 E Colter St
City Phoenix
State Arizona (AZ)
Post Code 850143048
Phone Number 9282574897
Fax Number 8665341701

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 3376
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
564527 AZ --

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FAQs about Carl Albert Bonacci

What is the unique identifier code issued to Carl Albert Bonacci by the Centers for Medicare & Medicaid Services (CMS)?

The Carl Albert Bonacci has been assigned the NPI (National Provider Identifier) 1659488583. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Carl Albert Bonacci is geographically located?

The Carl Albert Bonacci is physically situated at the following location: 1349 E Colter St, Phoenix, AZ, 850143048.

What is Carl Albert Bonacci's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Carl Albert Bonacci is Adult Development & Aging, and the corresponding taxonomy classification code for this specialized field is 103Ta0700X.

When did Carl Albert Bonacci receive its 1659488583 assignment?

The Carl Albert Bonacci was assigned its 1659488583 on 2006-08-24, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Carl Albert Bonacci last refreshed?

The information related to the Carl Albert Bonacci, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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