Individual provider · Type 1 NPI
Marilyn Bonem, PhD
Health Service Psychologist · Dearborn, MI
Practice location
6 Parklane Blvd Ste 695
Dearborn, MI 48126-2776
Fax (313) 271-8353
Mailing address
6400 Heaven Dr
Howell, MI 48855-9409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 6301007264 (MI) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
2 other providers at this address
About NPI 1659830834
Marilyn Bonem, PhD's National Provider Identifier is 1659830834, issued on Mar 18, 2019. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Dearborn, MI. The record was last updated on Jun 11, 2019.