Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA KATHLEEN BONATAKIS, PSY.D.
ActiveJESSICA KATHLEEN BONATAKIS, PSY.D. is a Child, Clinical Psychologist healthcare provider located in HERSHEY, Pennsylvania. NPI 1679706113 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · HERSHEY, PA
Registration Details
- NPI Number
- 1679706113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2009 (16.923113315994 yrs)
- Last Updated
- Jun 21, 2021
- Licenses
-
PS018803 (PA)129694 (KY)
Practice Information
- Address
-
22 NORTHEAST DRHERSHEY, PA, 170332732Browse PA providers · Browse ZIP 17033
- Phone
- 7175318338
- Fax
- 7175316250
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Clinical Psychologist
Other Child, Clinical Psychologist Providers in HERSHEY, PA
| Name | Credential | NPI |
|---|---|---|
| DR. ANTOLIN M LLORENTE | PHD | 1649340647 |
| JULIE PELLETIER | PHD | 1477872000 |
| DARA BABINSKI | PH.D. | 1649600586 |
| DR. SUSAN MINNICK | PSY.D. | 1346670296 |
| ELIZABETH S MICELI | PSY.D. | 1033667548 |
| AUTUMN JOY KUJAWA | PHD | 1356871644 |
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.