Provider Demographics
NPI:1871707828
Name:BONDI, MARIA L (LMHC,DAPA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:L
Last Name:BONDI
Suffix:
Gender:F
Credentials:LMHC,DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 NE 26TH ST
Mailing Address - Street 2:SUITE # 206
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1431
Mailing Address - Country:US
Mailing Address - Phone:954-467-2500
Mailing Address - Fax:954-564-4117
Practice Address - Street 1:1650 NE 26TH ST
Practice Address - Street 2:SUITE # 206
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1431
Practice Address - Country:US
Practice Address - Phone:954-467-2500
Practice Address - Fax:954-564-4117
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3854101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9029OtherBCBS