Provider Demographics
NPI:1063595981
Name:SZYMANSKI, BONNIE A (LPC)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:A
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 N 3RD ST
Mailing Address - Street 2:SUITE 2008
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1129
Mailing Address - Country:US
Mailing Address - Phone:602-264-4600
Mailing Address - Fax:602-264-7325
Practice Address - Street 1:2700 N 3RD ST
Practice Address - Street 2:SUITE 2008
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1129
Practice Address - Country:US
Practice Address - Phone:602-264-4600
Practice Address - Fax:602-264-7325
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1168101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional