Jennifer Wiemann Bonvillain in Houma - Speech-language Pathologist

Jennifer Wiemann Bonvillain - NPI 1730210360

Jennifer Wiemann Bonvillain is a Speech-language Pathologist in Houma, Louisiana. Jennifer Wiemann Bonvillain practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jennifer Wiemann Bonvillain is 1730210360. The last update date is 2007-07-08.

Jennifer Wiemann Bonvillain's current location address is 109 Wellington Dr, Houma, Louisiana. You can contact this provider via phone number 9852260209. The mailing address for Jennifer Wiemann Bonvillain is 109 Wellington Dr, Houma, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Wiemann Bonvillain
Address 109 Wellington Dr, Houma, Louisiana
Phone Number 9852260209
Fax Number
Sole Proprietor Y
Credentials MCD, CCC-S

NPI Number Detail

NPI Number 1730210360
Provider Enumeration Date 2007-03-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 109 Wellington Dr
City Houma
State Louisiana (LA)
Post Code 703607277
Phone Number 9852260209
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 3854
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1302651 LA --

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FAQs about Jennifer Wiemann Bonvillain

What is the unique identification code assigned to Jennifer Wiemann Bonvillain by the Centers for Medicare & Medicaid Services?

The Jennifer Wiemann Bonvillain has been issued the NPI (National Provider Identifier) 1730210360. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jennifer Wiemann Bonvillain is geographically located?

The Jennifer Wiemann Bonvillain is physically situated at the following location: 109 Wellington Dr, Houma, LA, 703607277.

What is Jennifer Wiemann Bonvillain's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer Wiemann Bonvillain is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1730210360 to Jennifer Wiemann Bonvillain?

The Jennifer Wiemann Bonvillain received its 1730210360 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.

As of what date were the Jennifer Wiemann Bonvillain's details last updated?

The information pertaining to the Jennifer Wiemann Bonvillain, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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