Provider Demographics
NPI:1184801011
Name:WRIGHT-BONAPARTE, LATOYA MONIQUE (LCSW-C, RPT-S)
Entity type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:MONIQUE
Last Name:WRIGHT-BONAPARTE
Suffix:
Gender:F
Credentials:LCSW-C, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14514 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3059
Mailing Address - Country:US
Mailing Address - Phone:240-304-7894
Mailing Address - Fax:
Practice Address - Street 1:13911 LORD FAIRFAX PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-5921
Practice Address - Country:US
Practice Address - Phone:240-304-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD121271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical