Doctor Name: | MRS. ALLISON RAND BONNETTE |
NPI Number: | 1457789232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 5018 |
Business Practice Address: | 581 Newberry Hwy Saluda, SC - 291387808 |
Business Phone Number: | 8644452146 |
Business Fax Number: | 8648030707 |
Mailing Address: | 108 Highcrest Ln, LEXINGTON |
State: | SC |
Postal Code: | 290727722 |
Phone Number: | 8644144181 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2013 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |