| Doctor Name: | BONITA M PEDROSI |
| NPI Number: | 1194909093 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | 6301011301 |
| Business Practice Address: | 675 Pearson St Ferndale, MI - 482203302 |
| Business Phone Number: | 2485434194 |
| Business Fax Number: | |
| Mailing Address: | 675 Pearson St, FERNDALE |
| State: | MI |
| Postal Code: | 482203302 |
| Phone Number: | 2485434194 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 12/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 6301011301 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |