| Doctor Name: | MS. MIRANDA MICHELLE BONNEY |
| NPI Number: | 1508054743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2008029063 |
| Business Practice Address: | 129 Ne Parks View Ct Lees Summit, MO - 640642353 |
| Business Phone Number: | 8165883782 |
| Business Fax Number: | |
| Mailing Address: | 1453 Sw Manor Lake Dr, LEES SUMMIT |
| State: | MO |
| Postal Code: | 640824182 |
| Phone Number: | 6602322298 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2007 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2008029063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |