Individual
BONITA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
2216 BARONNE ST, NEW ORLEANS, LA 70113-1502
(919) 539-6073
(704) 749-8483
Mailing address
2216 BARONNE ST, NEW ORLEANS, LA 70113-1502
(919) 539-6073
(877) 791-3486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5733
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014494
—
LA
Enumeration date
04/04/2007
Last updated
02/21/2012
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