Individual provider · NPI-1

Bonnie Jo Boise, MA, CCC-SLP/L

Speech-Language Pathologist, · Merrillville, IN

NPI number1356188585
StatusActive
Last updated in NPPESJul 15, 2024

Details

NPI
1356188585
Entity type
Individual (NPI-1)
Name
Bonnie Jo Boise
Credential
MA, CCC-SLP/L
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2024
Certification date
Jul 14, 2024
Last updated
Jul 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,22005566AINYes

Practice location

6701 Delaware St
Merrillville, IN 46410-3579

Phone 219-650-5300

Mailing address

2111 Kelle Dr Apt 201
Chesterton, IN 46304-8746

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Other Speech-Language Pathologist, providers in Merrillville, IN