Individual
BONNIE P WHITEBREAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
DEPARTMENT OF VETERANS AFFAIRS, 1111 EAST END BLVD, WILKES-BARRE, PA 18711
(570) 824-3521
Mailing address
455 WHITEBREAD LANE, SUGARLOAF, PA 18249
(570) 788-2394
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000262L
PA
Other
Enumeration date
06/27/2006
Last updated
09/06/2007
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