Individual
JENNIFER BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
4180 SAGE BLUFF CROSSING, FT. WAYNE, IN 46804
(260) 443-7300
(260) 482-5005
Mailing address
4180 SAGE BLUFF CROSSING, FT. WAYNE, IN 46804
(260) 443-7300
(260) 482-5005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004261A
IN
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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