Individual
EMMA BONIFIELD SPAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 483-2100
Mailing address
5156 TRUEMPER WAY APT 10, FORT WAYNE, IN 46835-3216
(574) 551-8807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008179A
IN
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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