Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | AZ1405 | AZ |
Y | 103TC0700X | Clinical Psychologist | AZ1405 | AZ |
NPI | 1003871625 |
---|---|
Provider Name | Dr. Bonnie Shcolnik |
First Address | Paradise Valley, AZ 85253-3590 |
Second Address | Scottsdale, AZ 85251-3315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 08/07/2007 |