| Doctor Name: | DR. DONALD WAYNE BONNER |
| NPI Number: | 1184631640 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EDD |
| License Number: | PSYCHOLOGY332 |
| Business Practice Address: | 101 N 14th Street Duncan, OK - 735331120 |
| Business Phone Number: | 5802552458 |
| Business Fax Number: | |
| Mailing Address: | 3701 Country Club Road, DUNCAN |
| State: | OK |
| Postal Code: | 73533 |
| Phone Number: | 5802522782 |
| Fax Number: | 5802522782 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSYCHOLOGY332 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |