Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Elizabeth A. Bonner, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1669627378

Mrs. Elizabeth A. Bonner, MS, CCC-SLP is a Qualified Speech Language Pathologist in Hauppauge, New York. Qualified in 2006, 20 years ago. Practices with Optimum Therapeutics PT and OT PLLC, a 43-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

49 Wireless Blvd Ste 170
Hauppauge, NY 11788-3965
Phone: (631) 382-7311
Fax: (631) 382-7399
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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 0179791 (NY)

Record details

NPI number1669627378
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 21, 2008
Last updated in NPPESNovember 21, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Optimum Therapeutics Pt And Ot Pllc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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