Pendleton, Bonnie L

Pendleton, Bonnie L is an individual health care provider with primary practice located at 4301 Wilson St , Fort Sill OK 73503-4472. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Pendleton, Bonnie L can be contacted via phone (580) 558-8424.

Contact Information

Primary practice address
4301 Wilson St Fort Sill OK 73503-4472
Phone: (580) 558-8424
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2133 Oklahoma
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 239 Oklahoma

Profile Details

NPI number 1164519971
LBN Legal business name Pendleton, Bonnie L
Credentials AU.D., M.S., M.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Dec 26th, 2023 - about 3 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 1164519971 NPPES
Oklahoma MEDICAID 100657760E
Oklahoma MEDICAID 100657760F
Oklahoma MEDICAID 100657760A

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