National Provider Identifier
Jenna Mahar Bonvell, M.A., CCC- SLP
Jenna Mahar Bonvell, M.A., CCC- SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canandaigua, NY and a listed phone number of (585) 764-5578.
Profile Overview
- NPI
- 1619125945
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 28, 2008
- Last Updated
- September 02, 2011
Practice Location
- 143 N Pearl St
- Canandaigua, NY 14424-1430
Phone: (585) 764-5578
Mailing Address
- 73 Maple Valley Cres
- Rochester, NY 14623-5209
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1619125945
- Entity Type
- Individual
- Last Name
- Bonvell
- First Name
- Jenna
- Middle Name
- Mahar
- Credential
- M.A., CCC- SLP
- Mailing Street Address
- 73 Maple Valley Cres
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-5209
- Mailing Country
- US
- Mailing Phone
- (585) 764-5578
- Practice Street Address
- 143 N Pearl St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1430
- Practice Country
- US
- Practice Phone
- (585) 764-5578
- Enumeration Date
- August 28, 2008
- Last Updated
- September 02, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)