Individual
BONNIE K CHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6817 PUTNAM RD, MADISON, WI 53711-3958
(608) 298-9475
Mailing address
6817 PUTNAM RD, MADISON, WI 53711-3958
(608) 298-9475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2162-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42788300
—
WI
Enumeration date
04/11/2008
Last updated
04/11/2008
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