Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3143171 | OH |
NPI | 1013381060 |
---|---|
Provider Name | Ashlee Bonar |
First Address | Orangeville, OH 44453-0174 |
Second Address | Niles, OH 44446-4624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2015 |
Last Update Date | 13/11/2015 |