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General NPI Number Information
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NPI Number | 1447613922
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Entity Type | Organization
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Legal Business Name | WENDY BONNEN, PH.D. & ASSOCIATES
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 900 LOVETT BLVD
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City | HOUSTON
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State | TX
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Zip | 77006-3908
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Country | US
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Telephone | 713-470-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 2351 UNDERWOOD ST
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City | HOUSTON
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State | TX
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Zip | 77030-3627
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. WENDY BONNEN
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Credential | PH.D.
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Telephone | 713-530-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37199
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License Number State | TX
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