NPI 1255340501 DESLIE BONANO LCSW, BCD PICAYUNE MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Deslie Bonano - NPI: 1255340501

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DESLIE BONANO
NPI Number: 1255340501
Entity Type Code: Individual (1)
Gender: F
Credentials: LCSW, BCD
License Number: C6126
Business Practice Address: 703 W Canal St
Picayune, MS - 394663918
Business Phone Number: 6017499477
Business Fax Number: 6018891265
Mailing Address: 703 W Canal St,
PICAYUNE
State: MS
Postal Code: 394663918
Phone Number: 6017499477
Fax Number: 6018891265
NPI Enumeration Date: 08/05/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1041C0700X
License Number: C6126
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MS
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Social Worker
Taxonomy Specialization: Clinical
Taxonomy Definition:
A social worker who holds a master


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