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Contact Information

MICHAEL C BUONOMO, MA
5781 GLEN OAKS DR
NARVON, PA17555-9450
 Phone: 717-768-4603
 Fax: 717-768-4604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Exclusive Provider Organization

302F00000X
 

Health Maintenance Organization

302R00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
 

Point of Service

305S00000X
 

Preferred Provider Organization

305R00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MICHAEL C BUONOMO · (Male)

NPI # 1992705917
Status Active
Credentials MA
Entity Individual
Enumeration date 08/01/2005
Last updated 11/23/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS-005959-L
  • PA License # PS005959-L
  • PA Medicaid 1000037020001
  • PA Other 0007133457 AETNA
  • PA Other BU76559 HIGHMARK BS
  • PA Other 335793 MHN
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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