NPI 1003205154
Jennifer Bonney, MACCCSLP
Practice location
- Address
- 4180 Sage Bluff Crossing, Ft. Wayne, IN 46804
- Phone
- (260) 443-7300
- Fax
- (260) 482-5005
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1003205154
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jan 2015
- Record last updated
- 13 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.