Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Ruth Bonner, CCCSLP

Individual provider Speech-Language Pathologist · NPI 1629536289

Mrs. Mary Ruth Bonner, CCCSLP is a Speech-Language Pathologist in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
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Practice location Address checks out

3056 Lindsay Ln
Port Huron, MI 48060-7777
Phone: (810) 434-2105
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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 7101001523 (MI)

Record details

NPI number1629536289
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCCSLP
Sole proprietorNo
NPI enumeratedMarch 3, 2019
Last updated in NPPESMarch 3, 2019

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