Doctor Name: | BONNIE EATON SIRKO |
NPI Number: | 1760672166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | SP 8751 |
Business Practice Address: | 4070 W 220th St Fairview Park, OH - 441261165 |
Business Phone Number: | 4404099784 |
Business Fax Number: | 8004898816 |
Mailing Address: | 4070 W 220th St, FAIRVIEW PARK |
State: | OH |
Postal Code: | 441261165 |
Phone Number: | 4404099784 |
Fax Number: | 8004898816 |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 8751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |