Thomas L. Bonas, PH.D.

Individual provider Active NPI Clinical Psychologist · Albany, CA

NPI 1699836429 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1699836429
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PSY11988 (CA)
Practice address
1012 Ramona Ave
Albany, CA 94706-2302
Phone
(510) 204-5808
NPI assigned
Dec 13, 2006
Sex
Male
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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11988CAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY11988 CA Yes

Addresses

Primary practice location

1012 Ramona Ave
Albany, CA 94706-2302

Mailing address

1012 Ramona Ave
Albany, CA 94706-2302
Phone (510) 204-5808

Other providers in Albany, CA

All providers in Albany, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.