Mary Bonner PHD
Psychologist in Benton, AR(View on Map)
Full Name
Mary Bonner PHD
NPI Number
1588651517
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/04/2005
Specialties
(Taxonomies)Licenses
State
Arkansas
License Number
8713P
Contact
Information
Purpose
Mailing
Location
Address
307 E SEVIER ST
307 E SEVIER ST
City
Benton
Benton
State
AR
AR
Postal Code
72015-3934
72015-3934
Country
US
US
Telephone Number
(501) 315-4224
(501) 315-4224
Identifiers
Identifier
59275
Identifier State
AR
Identifier Issuer
BLUE CROSS BLUE SHIELD
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007