Bonnie Matlick

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3020 Issued in CA

Practice address

14946 Los Lotes Ave
Whittier, CA 90605-1630

Phone

(562) 693-3966

NPI assigned

Oct 29, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1649747536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14946 LOS LOTES AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051630",
            "telephone_number": "562-693-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14946 LOS LOTES AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051630",
            "telephone_number": "562-693-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Long Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074022",
            "country_code": "US",
            "telephone_number": "562-595-0912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLICK",
        "first_name": "BONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry L Masters III, MD
• Shanzana Masud
• Cindy Soledad Mata
• Lilia Mata, CCC-SLP
• Aijaz Mathu
• Matrix Rehabilitation, Inc. (Whittier Physical Therapy)
• Brianna Michol Matthews
• Andrea Tatyana Maushardt
• Sarah Elaine Diruscio Maust, C.N.M., R.N.
• Will Max, M.A.

• Speech-Language Pathologist in Whittier, CA
• Providers in Whittier, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.