Individual
BRANDY MICHELLE BONEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
216 MARKET AVE, STE 120, BOERNE, TX 78006-3003
(830) 249-6067
(830) 249-7051
Mailing address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
(830) 792-5771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101451
TX
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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