Wong, Bonnie

Wong, Bonnie is an sole proprietor health care provider with primary practice located at 1842 Beacon St Ste 402 , Brookline MA 02445-1922. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Wong, Bonnie can be contacted via phone (617) 283-9739.

Contact Information

Primary practice address
1842 Beacon St Ste 402 Brookline MA 02445-1922
Phone: (617) 283-9739
Fax: (888) 972-6581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8414 Massachusetts
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 8414 Massachusetts

Profile Details

NPI number 1215964853
LBN Legal business name Wong, Bonnie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Apr 10th, 2023 - about 2 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 1215964853 NPPES
Massachusetts MEDICAID 0599077

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