Bonnie J Powers, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Spoiane, WA
NPI 1598893760 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598893760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL00003049 (WA)
- Practice address
- 310 N. Riverpoint Blvd.
Box V
Spoiane, WA 99202-1675 - Phone
- (509) 358-7581
- Fax
- (509) 368-6890
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| LL00003049 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Washington University Hearing and Speech | Speech-Language Pathologist | Past | Accepting new patients |
| Spokane Hearing-Oral Program of Excellence | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003049 | WA | Yes |
Addresses
Primary practice location
310 N. Riverpoint Blvd.
Box V
Spoiane, WA 99202-1675
Mailing address
310 N. Riverpoint Blvd.
Box V
Spoiane, WA 99202-1675
Phone (509) 358-7581
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.