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NPI Code Detail

MEDICARE: BONNIE LYNN SKELTON LPC

MEDICARE: BONNIE LYNN SKELTON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor74182TX

General Provider Information

NPI Number : 1881159721
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE LYNN SKELTON LPC
Provider Business Mailing Address
First Line : 6909 LOST CANYON DR
Second Line :
City : AMARILLO
State : TX
Zip : 79124-1431
Country : US
Telephone Number : 214-399-6534
Fax Number :
Provider Business Practice Location Address
First Line : 4211 W I 40
Second Line :
City : AMARILLO
State : TX
Zip : 79106-6053
Country : US
Telephone Number : 806-374-5950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2019
Last Update Date : 02/05/2019

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Directions to “ BONNIE LYNN SKELTON LPC” Practice Location

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