Individual provider · Type 1 NPI

Bonnie Marie Idso, MSCCCSLP

Speech-Language Pathologist · Susanville, CA

NPI number 1508183245 Active

Practice location

490 S Lassen St, Spc #3
Susanville, CA 96130-4893

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X22004774A (IN)
Speech-Language Pathologist Primary 235Z00000XSP 10561 (CA)

Speech-Language Pathologist: 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1508183245

Bonnie Marie Idso, MSCCCSLP's National Provider Identifier is 1508183245, issued on Apr 20, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Susanville, CA. The record was last updated on Jun 3, 2013.