National Provider Identifier

Isabella Bonner

Isabella Bonner is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (716) 821-5610.

NPI 1477389237Lackawanna, NYSpeech-Language Pathologist

Profile Overview

NPI
1477389237
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 10, 2024
Last Updated
September 10, 2024

Practice Location

  • 15 Inner Dr
  • Lackawanna, NY 14218-3626

Phone: (716) 821-5610

Mailing Address

  • 72 Lenora Dr
  • Hamburg, NY 14075-4710

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1477389237
Entity Type
Individual
Last Name
Bonner
First Name
Isabella
Mailing Street Address
72 Lenora Dr
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-4710
Mailing Country
US
Mailing Phone
(716) 225-8342
Practice Street Address
15 Inner Dr
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-3626
Practice Country
US
Practice Phone
(716) 821-5610
Enumeration Date
September 10, 2024
Last Updated
September 10, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
September 10, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)