Individual
KAREN M BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 923-1842
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
(443) 923-1842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61345201
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
10/26/2006
Last updated
10/24/2022
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