Soukup, Bonnie Neidecker

Soukup, Bonnie Neidecker is an sole proprietor health care provider with primary practice located at 435 Main St Ste 5 , Islip NY 11751-3536. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Soukup, Bonnie Neidecker can be contacted via phone (631) 664-1582.

Contact Information

Primary practice address
435 Main St Ste 5 Islip NY 11751-3536
Phone: (631) 664-1582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 004684 New York

Profile Details

NPI number 1558837880
LBN Legal business name Soukup, Bonnie Neidecker
Credentials LMHC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2018
Last updated Oct 14th, 2018 - about 6 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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