Provider Demographics
NPI:1811069313
Name:PRIZIO, BONNIE L (MA)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:L
Last Name:PRIZIO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 WOODLAND N
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-1414
Mailing Address - Country:US
Mailing Address - Phone:781-715-6608
Mailing Address - Fax:781-268-5070
Practice Address - Street 1:166 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1910
Practice Address - Country:US
Practice Address - Phone:781-715-6608
Practice Address - Fax:781-268-5070
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health