Provider Demographics
NPI:1023561081
Name:WRIGHT-SCOTT, BONITA MAE (LMFT)
Entity Type:Individual
Prefix:
First Name:BONITA
Middle Name:MAE
Last Name:WRIGHT-SCOTT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7239 COMSTOCK AVE UNIT E
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1353
Mailing Address - Country:US
Mailing Address - Phone:562-980-6639
Mailing Address - Fax:562-324-6274
Practice Address - Street 1:13033 PENN ST # 800
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1603
Practice Address - Country:US
Practice Address - Phone:562-556-9869
Practice Address - Fax:562-324-6274
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30520106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist