National Provider Identifier

Bonnelynn Marie Swanson, CCC-SLP

Bonnelynn Marie Swanson, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lakewood, NY and a listed phone number of (716) 763-7729.

NPI 1679730634Lakewood, NYSpeech-Language Pathologist

Profile Overview

NPI
1679730634
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 19, 2008
Last Updated
May 19, 2008

Practice Location

  • 104 Waldemere Way
  • Lakewood, NY 14750-1172

Phone: (716) 763-7729

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1679730634
Entity Type
Individual
Last Name
Swanson
First Name
Bonnelynn
Middle Name
Marie
Name Prefix
Mrs.
Credential
CCC-SLP
Mailing Street Address
104 Waldemere Way
Mailing City
Lakewood
Mailing State
NY
Mailing ZIP Code
14750-1172
Mailing Country
US
Mailing Phone
(716) 763-7729
Practice Street Address
104 Waldemere Way
Practice City
Lakewood
Practice State
NY
Practice ZIP Code
14750-1172
Practice Country
US
Practice Phone
(716) 763-7729
Enumeration Date
May 19, 2008
Last Updated
May 19, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)