| Doctor Name: | CINDY JO BUSHELL |
| NPI Number: | 1265741029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC,SLP |
| License Number: | SP1185 |
| Business Practice Address: | 3555 W Reno Ave Suite F Las Vegas, NV - 891181609 |
| Business Phone Number: | 7022620037 |
| Business Fax Number: | |
| Mailing Address: | 2532 Monarch Bay Drive, LAS VEGAS |
| State: | NV |
| Postal Code: | 89128 |
| Phone Number: | 7023286345 |
| Fax Number: | 7025629248 |
| NPI Enumeration Date: | 09/28/2010 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP1185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| 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 |