Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 8439 | FL |
Y | 103G00000X | Clinical Psychologist | 8439 | FL |
Y | 103TC0700X | Clinical Psychologist | 8439 | FL |
NPI | 1225560873 |
---|---|
Provider Name | Dr. Bonnie Dansky Cotton |
First Address | Palm City, FL 34990-5238 |
Second Address | Palm City, FL 34990-5238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 03/04/2017 |