Organization
BONNICKSEN SPEECH THERAPY
Active
Other names
Clear Sky Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN BONNICKSEN MS, CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(805) 550-2832
Entity
Organization
Contact information
Practice address
4620 OBISPO RD, ATASCADERO, CA 93422-1531
(805) 550-2832
Mailing address
7343 EL CAMINO REAL # 175, ATASCADERO, CA 93422-4697
(805) 550-2832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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