Kira Boneff
Clinical Child & Adolescent Psychologist
10524 Grand River Rd Ste 100
Brighton
, Michigan 48116-9559
Kira Boneff
Clinical Child & Adolescent Psychologist
10524 Grand River Rd Ste 100
Brighton
, Michigan 48116-9559
(248) 703-4883
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Kira Boneff
- 282 Village Green Blvd Apt 201
- Ann Arbor, MI
- Zip : 48105-3622
- Phone : (248) 703-4883
Second Address
- Kira Boneff
- 10524 Grand River Rd Ste 100
- Brighton, MI
- Zip : 48116-9559
- Phone : (810) 225-3417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301017422 | MI |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6352000211 | MI |
National Provider Identifier
| NPI | 1104481977 |
|---|---|
| Provider Name | Kira Boneff |
| First Address | Ann Arbor, MI 48105-3622 |
| Second Address | Brighton, MI 48116-9559 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2019 |
| Last Update Date | 16/07/2020 |
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.