Individual
MS. BONITA ELAINE WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
711 ROUTE 119, GREENSBURG, PA 15601-9166
(724) 834-2670
(724) 834-2671
Mailing address
711 ROUTE 119, GREENSBURG, PA 15601-9166
(724) 834-2670
(724) 834-2671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007198
PA
Other
Enumeration date
08/30/2007
Last updated
02/21/2013
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