National Provider Identifier
Lisa Bonn, MS ATR
Lisa Bonn, MS ATR is listed in the NPPES registry with a primary specialty of Psychoanalyst in Buffalo, NY and a listed phone number of (716) 862-0367.
Profile Overview
- NPI
- 1750592291
- Provider Type
- Individual
- Primary Specialty
- Psychoanalyst
- Enumeration Date
- May 25, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2495 Main St
- Suite 412
- Buffalo, NY 14214-2152
Phone: (716) 862-0367
Mailing Address
- 525 Washington St
- Buffalo, NY 14203-1711
Specialties
- Psychoanalyst (102L00000X)
Full Record
- NPI
- 1750592291
- Entity Type
- Individual
- Last Name
- Bonn
- First Name
- Lisa
- Credential
- MS ATR
- Provider Other Last Name
- Ishwardas
- Provider Other First Name
- Lisa
- Provider Other Credential Text
- MS ATR
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 525 Washington St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1711
- Mailing Country
- US
- Mailing Phone
- (716) 856-4494
- Mailing Fax
- (716) 842-1277
- Practice Street Address
- 2495 Main St
- Practice Address Line 2
- Suite 412
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2152
- Practice Country
- US
- Practice Phone
- (716) 862-0367
- Practice Fax
- (716) 862-0368
- Enumeration Date
- May 25, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychoanalyst (102L00000X)