Bonnie Slade
Psychologist Health Service Family Psychologist Clinical Psychologist and 4 more
1555 Port Malabar Blvd Ne Suite 104
Palm Bay
, Florida 32905-5407
Bonnie Slade
Psychologist Health Service Family Psychologist Clinical Psychologist and 4 more
1555 Port Malabar Blvd Ne Suite 104
Palm Bay
, Florida 32905-5407
(321) 952-2516
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Health Service
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Bonnie Slade
- 1555 Port Malabar Blvd Ne Suite 104
- Palm Bay, FL
- Zip : 32905-5407
- Fax : (321) 952-2516
- Phone : (321) 729-0870
Second Address
- Bonnie Slade
- 1555 Port Malabar Blvd Ne Suite 104
- Palm Bay, FL
- Zip : 32905-5407
- Fax : (321) 952-2516
- Phone : (321) 729-0870
Reviews
FAQs
Where did Bonnie Slade attend graduate school?
Where did Bonnie Slade do her residency?
Where did Bonnie Slade do her fellowship?
Is Bonnie Slade board certified?
In what state does Bonnie Slade practice in?
Where is Bonnie Slade ’s practice located?
What is Bonnie Slade ’s gender?
Is Bonnie Slade a sole practitioner?
Is Bonnie Slade accepting new patients?
What languages does Bonnie Slade speak?
Does Bonnie Slade accept insurance?
Does Bonnie Slade offers telemedicine?
What is Bonnie Slade ’s professional license number?
What is Bonnie Slade ’s NPI number?
Does Bonnie Slade have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PY002036 | FL |
| N | 103TC0700X | Clinical Psychologist | PY002036 | FL |
| N | 102L00000X | Psychologist | PY002036 | FL |
| N | 103T00000X | Psychologist | PY002036 | FL |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PY002036 | FL |
| N | 103G00000X | Clinical Psychologist | PY002036 | FL |
| N | 103TC0700X | Clinical Psychologist | PY002036 | FL |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY002036 | FL |
| N | 103TF0000X | Family Psychologist | PY002036 | FL |
| N | 103TH0100X | Health Service | PY002036 | FL |
| N | 103TM1800X | Intellectual & Developmental Disabilities | PY002036 | FL |
National Provider Identifier
| NPI | 1477552743 |
|---|---|
| Provider Name | Bonnie Slade |
| First Address | Palm Bay, FL 32905-5407 |
| Second Address | Palm Bay, FL 32905-5407 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 73246 | BCBS PROVIDER ID (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.