Lang, Bonnie Denton

Lang, Bonnie Denton is an sole proprietor health care provider with primary practice located at 3 Mystic Ct , Stony Brook NY 11790-2920. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lang, Bonnie Denton can be contacted via phone (631) 751-0058.

Contact Information

Primary practice address
3 Mystic Ct Stony Brook NY 11790-2920
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R019517 New York

Profile Details

NPI number 1598809121
LBN Legal business name Lang, Bonnie Denton
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1598809121 NPPES
New York Other 080958 VALUE OPTIONS

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