Individual provider · Type 1 NPI

Kirsten Nicole Bonifacio, PhD

Psychologist · Kalamazoo, MI

NPI number 1073137071 Active

Practice location

601 John St Ste M-005
Kalamazoo, MI 49007-5381

Mailing address

3201 Pinehurst Ln
Grand Blanc, MI 48439-2606

Other practice locations

  • 1 Hurley Plz Ofc 6W, Flint, MI 48503-5902 · (810) 262-6815

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X6352000204 (MI)
Psychologist Primary 103T00000X6301018888 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

4 other providers at this address

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About NPI 1073137071

Kirsten Nicole Bonifacio, PhD's National Provider Identifier is 1073137071, issued on Jun 4, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Kalamazoo, MI. The record was last updated on Jul 23, 2021.