Bonnie Slade Ph.D. P.A.

LBN: Bonnie Slade Ph.D. P.A.
Bonnie Slade Ph.D. P.A. is an health care organization with primary practice located at 1555 Port Malabar Blvd. Suite 104, Palm Bay FL 32958. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Bonnie Slade Ph.D. P.A. can be contacted via phone (321) 729-0870, or through Slade, Bonnie via phone (321) 729-0870.

Contact Information

Primary practice address
1555 Port Malabar Blvd. Suite 104 Palm Bay FL 32958
Phone: (321) 729-0870
Fax: (321) 952-2516
Website:
Map and Directions
Authorized official contact:
Name: Slade, Bonnie PH.D.
Phone: (321) 729-0870

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY002036 Florida

Profile Details

NPI number 1629480231
LBN Legal business name Bonnie Slade Ph.D. P.A.
DBA Doing business as
Authorized official Slade, Bonnie PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2014
Last updated May 30th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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