Merritt, Bonnie Louise

Merritt, Bonnie Louise is an individual health care provider with primary practice located at 1501 Fruitvale Ave , Oakland CA 94601-2322. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Merritt, Bonnie Louise can be contacted via phone (510) 535-6200.

Contact Information

Primary practice address
1501 Fruitvale Ave Oakland CA 94601-2322
Phone: (510) 535-6200
Fax: (510) 535-4167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY21859 California

Profile Details

NPI number 1528101219
LBN Legal business name Merritt, Bonnie Louise
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 18th, 2010 - about 14 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 1528101219 NPPES
California Other 5519 BEHAVIORAL HEALTH CARE SE
California Other 05-1063 BEHAVIORAL HEALTH CARE SE
California Other ZZZ29799Z BEHAVIORAL HEALTH CARE SE

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