Doctor Name: | LISA BONCHONSKY |
NPI Number: | 1376708503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SLP5818 |
Business Practice Address: | 312 N. Alma School Rd. #14 Chandler, AZ - 85224 |
Business Phone Number: | 4808206366 |
Business Fax Number: | 4808200462 |
Mailing Address: | P.o. Box 6397, CHANDLER |
State: | AZ |
Postal Code: | 85246 |
Phone Number: | 4808206366 |
Fax Number: | 4808200462 |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |