Individual
MRS. BONITA R BLAIR-SEIPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP/L, TSHH
Contact information
Practice address
13 STEVENS AVE, CUBA, NY 14727-1526
(585) 307-7223
Mailing address
105 SOUTH ST, CUBA, NY 14727-1418
(585) 307-7223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021449
NY
Other
Enumeration date
09/29/2011
Last updated
02/03/2023
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