Catherine Bonifas, M.S.CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Paulding, OH
NPI 1306247234 · NPPES record last updated Sep 10, 2014
Key facts
- NPI
- 1306247234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.9891 (OH)
- Practice address
- 202 N Cherry St
Paulding, OH 45879-1211 - Phone
- (419) 399-4711
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.9891 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Buckeye Esc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.9891 | OH | Yes |
Addresses
Primary practice location
202 N Cherry St
Paulding, OH 45879-1211
Mailing address
13395 Converse Roselm Rd
Venedocia, OH 45894-9532
Other providers in Paulding, OH
- Melanie Banks
- Cassandra Beardsley
- Beth R Billips
- Allison Bittner
- Angie Bonifas
- Paula Sue Bowersox
- Chloe Elizabeth Noel Boyd
- Zachary Boyer
- Olivia Breininger
- Bobbi Brkovic
All providers in Paulding, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.