Provider Demographics
NPI:1700291002
Name:SETTLAGE, BONNIE (PHD)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:
Last Name:SETTLAGE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15750 DARLING VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SUTTER CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:95685-9770
Mailing Address - Country:US
Mailing Address - Phone:209-267-4909
Mailing Address - Fax:
Practice Address - Street 1:15750 DARLING VIEW CT
Practice Address - Street 2:
Practice Address - City:SUTTER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95685-9770
Practice Address - Country:US
Practice Address - Phone:209-267-4909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23489103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical