NPI 1003205154 JENNIFER BONNEY MACCC-SLP FT. WAYNE IN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jennifer Bonney - NPI: 1003205154

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JENNIFER BONNEY
NPI Number: 1003205154
Entity Type Code: Individual (1)
Gender: F
Credentials: MACCC-SLP
License Number: 22004261A
Business Practice Address: 4180 Sage Bluff Crossing
Ft. Wayne, IN - 46804
Business Phone Number: 2604437300
Business Fax Number: 2604825005
Mailing Address: 4180 Sage Bluff Crossing,
FT. WAYNE
State: IN
Postal Code: 46804
Phone Number: 2604437300
Fax Number: 2604825005
NPI Enumeration Date: 01/13/2015
NPI Last Update Date: 01/13/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 22004261A
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IN
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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