Provider Demographics
NPI:1902054794
Name:LANDFIELD, BONNIE SUSAN (MFT)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:SUSAN
Last Name:LANDFIELD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 QUAIL VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2267
Mailing Address - Country:US
Mailing Address - Phone:925-932-1008
Mailing Address - Fax:
Practice Address - Street 1:1445 QUAIL VIEW CIR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-2267
Practice Address - Country:US
Practice Address - Phone:925-932-1008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43414101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health