| Shelley Galasso Bonanno & Associates, Pllc | |
|
1019 Haynes St Birmingham MI 48009-6779 | |
| (586) 917-4001 | |
| (586) 412-5836 |
| Full Name | Shelley Galasso Bonanno & Associates, Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1019 Haynes St, Birmingham, Michigan |
| Authorized Official Name and Position | Shelley Bonanno (OWNER) |
| Authorized Official Contact | 5869174001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Galasso Bonanno & Associates, Pllc 1019 Haynes St Birmingham MI 48009-6779 Ph: (586) 917-4001 | Shelley Galasso Bonanno & Associates, Pllc 1019 Haynes St Birmingham MI 48009-6779 Ph: (586) 917-4001 |
| NPI Number | 1154821783 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154821783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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