National Provider Identifier

Bonnie Lynn Stafford

Bonnie Lynn Stafford is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lockport, NY and a listed phone number of (716) 880-4430.

NPI 1902619331Lockport, NYSpeech-Language Pathologist

Profile Overview

NPI
1902619331
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 29, 2025
Last Updated
January 29, 2025

Practice Location

  • 5530 Victoria Ln
  • Lockport, NY 14094-5374

Phone: (716) 880-4430

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1902619331
Entity Type
Individual
Last Name
Stafford
First Name
Bonnie
Middle Name
Lynn
Name Prefix
Dr.
Mailing Street Address
5530 Victoria Ln
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-5374
Mailing Country
US
Mailing Phone
(716) 880-4430
Practice Street Address
5530 Victoria Ln
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5374
Practice Country
US
Practice Phone
(716) 880-4430
Enumeration Date
January 29, 2025
Last Updated
January 29, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 29, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)