Shayna Bonzey, MA CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Holden, MA

NPI 1821606930 · NPPES record last updated Jul 15, 2020

Key facts

NPI
1821606930
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
8781 (MA)
Practice address
32 Mayo Dr
Holden, MA 01520-1512
Phone
(508) 829-1210
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8781MAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8781 MA Yes

Addresses

Primary practice location

32 Mayo Dr
Holden, MA 01520-1512

Mailing address

32 Mayo Dr
Holden, MA 01520-1512

Other providers in Holden, MA

All providers in Holden, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.