Bonita M Pedrosi, MS
Individual provider Active NPI Clinical Psychologist · Ferndale, MI
NPI 1194909093 · NPPES record last updated Dec 27, 2007
Key facts
- NPI
- 1194909093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301011301 (MI)
- Practice address
- 675 Pearson St
Ferndale, MI 48220-3302 - Phone
- (248) 543-4194
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011301 | MI | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6301011301 | MI | |
| Clinical Psychologist | 103TC0700X | 6301011301 | MI | Yes |
Addresses
Primary practice location
675 Pearson St
Ferndale, MI 48220-3302
Mailing address
675 Pearson St
Ferndale, MI 48220-3302
Phone (248) 543-4194
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- Pelvic Core Physical Therapy PLLC
- Mary Pendleton
- Elizabeth A Pensler
- Katherine Ann Peoples
- Emily Claire Perraut
All providers in Ferndale, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.