Individual
BONNIE M. VEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2206 N JACKSON, MAGNOLIA, AR 71753-2065
(870) 510-2841
(844) 315-7385
Mailing address
2206 N JACKSON, MAGNOLIA, AR 71753-2065
(870) 510-2841
(844) 315-7385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1725
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105435
STATE LICENSE
TX
01
—
12024497
ASHA
—
05
—
139686721
—
AR
01
—
1725
STATE LICENSE
AR
01
—
5X283
BCBS
AR
Enumeration date
03/15/2007
Last updated
05/20/2022
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