Individual
MS. BONNIE S. MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC;SLP
Contact information
Practice address
134 ENCHANTED PKWY, SUITE 204, MANCHESTER, MO 63021-5495
(314) 909-1449
(636) 220-7182
Mailing address
134 ENCHANTED PKWY, SUITE 204, MANCHESTER, MO 63021-5495
(314) 909-1449
(636) 220-7182
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01315
MO
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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