Individual
REBEKAH BONIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
13640 LANDMARK DR, BATON ROUGE, LA 70810-0423
(225) 315-3666
Mailing address
13640 LANDMARK DR, BATON ROUGE, LA 70810-0423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4893
LA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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