Deslie Bonano is a Clinical in Picayune, Mississippi. Deslie Bonano practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deslie Bonano is 1255340501. The last update date is 2007-07-08.
Deslie Bonano's current location address is 703 W Canal St, Picayune, Mississippi. You can contact this provider via phone number 6017499477 and fax number 6018891265. The mailing address for Deslie Bonano is 703 W Canal St, Picayune, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deslie Bonano |
|---|---|
| Address | 703 W Canal St, Picayune, Mississippi |
| Phone Number | 6017499477 |
| Fax Number | 6018891265 |
| Sole Proprietor | Y |
| Credentials | LCSW, BCD |
NPI Number Detail
| NPI Number | 1255340501 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 703 W Canal St |
|---|---|
| City | Picayune |
| State | Mississippi (MS) |
| Post Code | 394663918 |
| Phone Number | 6017499477 |
| Fax Number | 6018891265 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C6126 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124843 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Deslie Bonano by the Centers for Medicare & Medicaid Services?
The Deslie Bonano has been issued the NPI (National Provider Identifier) 1255340501. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Deslie Bonano's physical address?
The Deslie Bonano is physically located at 703 W Canal St, in the city of Picayune, MS, with the postal code 394663918.
What is Deslie Bonano's area of expertise and its corresponding taxonomy classification?
The Deslie Bonano's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255340501 to Deslie Bonano?
The Centers for Medicare & Medicaid Services originally issued the 1255340501 to Deslie Bonano on 2006-08-05.
When was the information regarding Deslie Bonano, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Deslie Bonano, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.