Individual
KAILYN ANN BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
414 W LEAMY AVE, SPRINGFIELD, PA 19064-2221
(856) 371-3259
Mailing address
414 W LEAMY AVE, SPRINGFIELD, PA 19064-2221
(856) 371-3259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011288
PA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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