BONNY FRESCURA MFT NPI 1780210856

NPI Information

  • NPI: 1780210856
  • Provider Name: BONNY FRESCURA, MFT
  • Classification: Psychologist - 103TF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1542 KINGSLEY AVE STE 136
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 214-3222

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NPI Details

Bonny Frescura, MFT is a family psychologist in Orange Park, FL. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. Bonny Frescura, MFT NPI is 1780210856. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1542 KINGSLEY AVE STE 136
ORANGE PARK, FL
ZIP 32073-547
Phone: (904) 214-3222

The enumeration date for this NPI number is 3/20/2020 and was last updated on 3/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TF0000XPsychologistFamily37FA00007200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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