Bonavitacola, Lauren

Bonavitacola, Lauren is an individual health care provider with primary practice located at 970 Haddon Ave Unit 481 , Collingswood NJ 08108-8024. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bonavitacola, Lauren can be contacted via phone (973) 932-0125.

Contact Information

Primary practice address
970 Haddon Ave Unit 481 Collingswood NJ 08108-8024
Phone: (973) 932-0125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 021710 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 021710 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021710 New York

Profile Details

NPI number 1548653587
LBN Legal business name Bonavitacola, Lauren
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2015
Last updated Dec 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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