Individual
BONNIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3542 SILVER LAKE RD, SARANAC, NY 12981-2654
(518) 293-7559
(518) 293-7559
Mailing address
3542 SILVER LAKE RD, SARANAC, NY 12981-2654
(518) 293-7559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00318814
—
NY
Enumeration date
02/19/2007
Last updated
04/16/2013
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