Provider Demographics
NPI:1225022403
Name:BONDS-WHITE, FRANCES (EDD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:BONDS-WHITE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 BAINBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1130
Mailing Address - Country:US
Mailing Address - Phone:215-735-4393
Mailing Address - Fax:215-735-3608
Practice Address - Street 1:2205 BAINBRIDGE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1130
Practice Address - Country:US
Practice Address - Phone:215-735-4393
Practice Address - Fax:215-735-3608
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015083103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA070848Medicare ID - Type UnspecifiedPSYCHOLOGIST