Bonnie Slade PHD PA
Bonnie Slade PHD PA is a Clinical Child & Adolescent Psychologist in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1555 Port Malabar Blvd Ste 104Palm Bay, FL 32958
Phone: (321) 729-0870
Fax: (321) 952-2516
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X · Licence PY002036 (FL) |
|---|
Record details
| NPI number | 1629480231 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bonnie Slade — President · (321) 729-0870 |
| NPI enumerated | May 30, 2014 |
| Last updated in NPPES | May 30, 2014 |
| Mailing address | 1555 Port Malabar Blvd., Suite 104, Palm Bay, FL 32958 |