Bonatakis, Jessica Kathleen
Bonatakis, Jessica Kathleen is an individual health care provider with primary practice located at 22 Northeast Dr , Hershey PA 17033-2732. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Bonatakis, Jessica Kathleen can be contacted via phone (717) 531-8338.Contact Information
Primary practice address
22 Northeast Dr
Hershey PA 17033-2732
Phone: (717) 531-8338
Fax: (717) 531-6250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS018803 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 129694 | Kentucky |
Profile Details
NPI number | 1679706113 |
---|---|
LBN Legal business name | Bonatakis, Jessica Kathleen |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2009 |
Last updated | Jun 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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