OrganizationActive
Bonnie Slade PH.D. P.A.
NPI 1629480231 · Clinical Child & Adolescent Psychologist · Palm Bay, FL
Provider details
- NPI number
- 1629480231
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bonnie Slade, President(321) 729-0870
- License
- PY002036 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1555 Port Malabar Blvd.
Suite 104
Palm Bay, FL 32958
Phone: (321) 729-0870
Fax: (321) 952-2516
Approximate (ZIP-level) locationGet directions
Mailing address
1555 Port Malabar Blvd.
Palm Bay, FL 32958
Registry dates
- Enumerated
- 2014-05-30
- Last updated
- 2014-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.