Bonnie Marie Idso, MSCCCSLP
Bonnie Marie Idso, MSCCCSLP is a Speech-Language Pathologist in Susanville, California. Licensed in California and Indiana. Registered with an NPI since 2010.
- Licensed in
- CA, IN
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
490 S Lassen St Spc #3Susanville, CA 96130-4893
Phone: (510) 409-2032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SP 10561 (CA) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 22004774A (IN) |
Record details
| NPI number | 1508183245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCCCSLP |
| Sole proprietor | No |
| NPI enumerated | April 20, 2010 |
| Last updated in NPPES | June 3, 2013 |
Other providers in Susanville
-
Carol Jane Forbes, SPPA
1101 Modoc St, Susanville, CA 96130-4838 · (530) 251-5775
-
Casey Wootan
2005 River St, Susanville, CA 96130-4524 · (530) 257-5341