Individual
MS. BONNIE L DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
800 S WILBUR AVE, SYRACUSE, NY 13204-2732
(315) 473-6944
(315) 473-5064
Mailing address
4974 LONG ACRE DR, SYRACUSE, NY 13215-2319
(315) 492-9774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004139-1
NY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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