Jonathan Matthew Bunney

Individual provider Speech-Language Pathologist · NPI 1699411520

Jonathan Matthew Bunney is a Speech-Language Pathologist in Island Park, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in: CA
In the registry since: 2022

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Practice location Address may be wrong

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3757 Southshore Dr
Island Park, ID 83249
Phone: (208) 406-7738

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Additional practice locations (1)

782 Ranger St, Oakdale, CA 95361-8694 — (208) 406-7738

Specialties & licences

Speech-Language Pathologist (primary)	Taxonomy 235Z00000X · Licence 25010 (CA)

Record details

NPI number	1699411520
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	May 12, 2022
Last updated in NPPES	May 12, 2022
Certification date	April 29, 2022
Mailing address	782 Ranger St, Oakdale, CA 95361-8694