| Doctor Name: | MR. CHRIS W. BONNER |
| NPI Number: | 1063599678 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1041 W Bridge St Phoenixville, PA - 194604342 |
| Business Phone Number: | 6109338110 |
| Business Fax Number: | 6109337451 |
| Mailing Address: | 302 Conshohocken State Rd, GLADWYNE |
| State: | PA |
| Postal Code: | 190351336 |
| Phone Number: | 6108966847 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |