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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANE M BONIFAS, PHD

Active Sole Proprietor

JANE M BONIFAS, PHD is a Psychologist healthcare provider located in VENEDOCIA, Ohio. NPI 1326022963 is currently active in the NPPES registry. Verify at CMS.

Psychologist · VENEDOCIA, OH

Registration Details

NPI Number
1326022963
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2005 (20.670519904893 yrs)
Last Updated
Jan 3, 2012
License
5315 (OH)
Sole Proprietor
Yes

Practice Information

Address
13731 CONVERSE ROSELM RD
VENEDOCIA, OH, 458949532
Browse OH providers · Browse ZIP 45894
Phone
4196952194
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.