Bronson, Bonny Gale

Bronson, Bonny Gale is an individual health care provider with primary practice located at 920 9 1 2 St Ne , Charlottesville VA 22902-5311. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bronson, Bonny Gale can be contacted via phone (434) 984-1311.

Contact Information

Primary practice address
920 9 1 2 St Ne Charlottesville VA 22902-5311
Phone: (434) 984-1311
Fax: (434) 971-7740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810001884 Virginia

Profile Details

NPI number 1972673036
LBN Legal business name Bronson, Bonny Gale
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972673036 NPPES
Virginia MEDICAID 7707983
Virginia Other 071737
Virginia Other 11510778

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