Bonk, Andrea N

Bonk, Andrea N is an individual health care provider with primary practice located at 5777 E Mayo Blvd , Phoenix AZ 85054-4502. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bonk, Andrea N can be contacted via phone (480) 342-2071.

Contact Information

Primary practice address
5777 E Mayo Blvd Phoenix AZ 85054-4502
Phone: (480) 342-2071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP7945 Arizona

Profile Details

NPI number 1942544051
LBN Legal business name Bonk, Andrea N
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Oct 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942544051 NPPES
Arizona MEDICAID 757032

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