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DR. CARL ALBERT BONACCI PH.D.

Clinical Neuropsychologist

Phoenix, Arizona

Provider NPI: 1659488583

Provider Information:
DR. CARL ALBERT BONACCI PH.D.
Gender: M
Sole Proprietor


Practice Location:
1349 E COLTER ST  PHOENIX, AZ 85014 US
Tel: 928-257-4897  Fax: 866-534-1701

Business Mailing Address:
1349 E COLTER ST  PHOENIX, AZ 85014 US
Tel: 928-257-4897  Fax: 866-534-1701

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AZ3376
X103T00000XBehavioral Health & Social Service Providers
Psychologist
AZ3376
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
AZ3376

Other Provider Identifiers:

IssuerNumberStateType
564527AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS AZ - Page 1

1 Scheduling Office Coordinator Scottsdale, AZ, USA ... all clinicians operating out of our 3 locations. The position will also provide administrative ... Company Description Serin Centers are collaborative care clinics that integrate neuropsychology ...... Apply Now>>



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