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Contact Information

MARILYN BONEM, PhD
6 PARKLANE BLVD STE 695
DEARBORN, MI48126-2776
 Phone: 313-271-8170
 Fax: 313-271-8353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARILYN BONEM · (Female)

NPI Number 1659830834
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/18/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301007264
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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