Individual
BONNIE B HERTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
2814 HEATHFIELD LN, RICHMOND, IN 47374-6615
(765) 935-0051
Mailing address
2814 HEATHFIELD LANE, RICHMOND, IN 47374
(765) 935-0051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001836A
IN
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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