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

BONNY FRESCURA, MFT

Active Sole Proprietor

BONNY FRESCURA, MFT is a Family Psychologist healthcare provider located in ORANGE PARK, Florida. NPI 1780210856 is currently active in the NPPES registry. Verify at CMS.

Family Psychologist · ORANGE PARK, FL

Registration Details

NPI Number
1780210856
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2020 (6.3608863542354 yrs)
Last Updated
Mar 20, 2020
License
37FA00007200 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1542 KINGSLEY AVE STE 136
ORANGE PARK, FL, 320734547
Browse FL providers · Browse ZIP 32073
Phone
9042143222
Primary Specialty
Family Psychologist
103TF0000X
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.