Bonnie Slade is a Health Service Psychologist based in Palm Bay, FL and is specialized in Health Service. Bonnie Slade practices in Palm Bay, FL and has the professional credentials of PHD. The NPI Number for Bonnie Slade is 1477552743 and holds a License No. PY002036 (Florida).
The current practice location address for Bonnie Slade is 1555 Port Malabar Blvd Ne, Palm Bay, FL and can be reached out via phone at 321-729-0870 and via fax at 321-952-2516. You can also correspond with Bonnie Slade through the mailing address at 1555 PORT MALABAR BLVD NE, PALM BAY, FL - 32905-5407 (mailing address contact number: 321-729-0870).
Location: 1555 Port Malabar Blvd Ne, Palm Bay, FL, 32905-5407
Provider Profile Details
NPI Number
1477552743
Provider Name
Bonnie Slade
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1555 Port Malabar Blvd Ne, Palm Bay, FL, 32905-5407
Phone Number
321-729-0870
Fax Number
321-952-2516
Provider Enumeration Date
07/19/2005
Last Update Date
07/08/2007
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73246 | 01 | FL | BCBS PROVIDER ID |
Provider Business Practice Location Address Details
Address
1555 Port Malabar Blvd Ne
City
State
Zip
32905-5407
Phone Number
321-729-0870
Fax Number
321-952-2516
Provider Business Mailing Address Details
Address
1555 Port Malabar Blvd Ne
City
State
Zip
32905-5407
Phone Number
321-729-0870
Fax Number
321-952-2516
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
PY002036 (Florida)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
PY002036 (Florida)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
PY002036 (Florida)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
PY002036 (Florida)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
License No.
PY002036 (Florida)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Family
Taxonomy
License No.
PY002036 (Florida)
Definition
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.
Provider's Taxonomy Details 7
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
PY002036 (Florida)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Provider's Taxonomy Details 8
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
PY002036 (Florida)
Definition
Definition to come...