| Doctor Name: | NICOLE B DE BONIS |
| NPI Number: | 1154485274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LCSW |
| License Number: | 44SC00022200 |
| Business Practice Address: | One Bethany Road Suite 34 Institute For Psychological & Spiritual Growth Hazlet, NJ - 07730 |
| Business Phone Number: | 7327394098 |
| Business Fax Number: | |
| Mailing Address: | One Bethany Road, Suite 34 Institute For Psychological & Spiritual Growth HAZLET |
| State: | NJ |
| Postal Code: | 07730 |
| Phone Number: | 7327394098 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC00022200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |