Individual
CATHERINE BONIFAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
202 N CHERRY ST, PAULDING, OH 45879-1211
(419) 399-4711
Mailing address
13395 CONVERSE ROSELM RD, VENEDOCIA, OH 45894-9532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.9891
OH
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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