Provider Demographics
NPI:1225560873
Name:COTTON, BONNIE DANSKY (PHD)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:DANSKY
Last Name:COTTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BONNIE
Other - Middle Name:S
Other - Last Name:DANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7003 SW WISTERIA TER
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-5238
Mailing Address - Country:US
Mailing Address - Phone:772-631-8382
Mailing Address - Fax:
Practice Address - Street 1:7003 SW WISTERIA TER
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-5238
Practice Address - Country:US
Practice Address - Phone:772-631-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8439103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral