NPI 1023490844

Jacqueline Bonsu, PHD

Practitioner Psychologist Knoxville, TN

Practice location

Address: 2018 Western Ave, Knoxville, TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
Mailing address: 6350 W Andrew Johnson Hwy Department 100, Talbott, TN 37877-8605

Registered specialties (4)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 3492 (TN)

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023490844
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2015
Record last updated: 27 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.