Matthew Bonasch
Psychologist, School in Milwaukee, WI. Individual provider (NPI-1).
NPI number1013824549
StatusActive
Last updated in NPPESAug 27, 2026
Details
- NPI
- 1013824549
- Entity type
- Individual (NPI-1)
- Name
- Matthew Bonasch
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2026
- Certification date
- Aug 27, 2026
- Last updated
- Aug 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 3001021976 | WI | Yes |
Practice location
2360 N 52nd StMilwaukee, WI 53210-2701
Phone 414-874-8400
Mailing address
5225 W Vliet StMilwaukee, WI 53208-2698
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