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General NPI Number Information
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NPI Number | 1477613453
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PSYCHOLOGY & CONSULTATION INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1136 WILMINGTON AVE
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City | DAYTON
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State | OH
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Zip | 45420
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Country | US
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Telephone | 937-254-6700
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Fax | 937-254-6776
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Provider Business Mailing Address
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Address Line | 1136 WILMINGTON AVE
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City | DAYTON
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State | OH
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Zip | 45420
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Country | US
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Telephone | 937-254-6700
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Fax | 937-254-6776
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | DR. KATHLEEN A BONIE
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Credential | PHD
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Telephone | 937-254-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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