Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BONNIE MARIE IDSO, MSCCCSLP
ActiveBONNIE MARIE IDSO, MSCCCSLP is a Speech, Language and Hearing Specialist healthcare provider located in SUSANVILLE, California. NPI 1508183245 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · SUSANVILLE, CA
Registration Details
- NPI Number
- 1508183245
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2010 (16.27545265808 yrs)
- Last Updated
- Jun 3, 2013
- Licenses
-
22004774A (IN)SP 10561 (CA)
Practice Information
- Address
-
490 S LASSEN STSPC #3SUSANVILLE, CA, 961304893Browse CA providers · Browse ZIP 96130
- Phone
- 5104092032
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in SUSANVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| CAROL JANE FORBES | SPPA | 1699854315 |
| CASEY WOOTAN | — | 1497238554 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.