DR. Heather Shaw Bonilha, PHD CCC-SLP
NPI #1104076629 in Columbia, South Carolina
Provider Information
- NPI Number
- 1104076629
- Entity Type
- Individual
- Name
- DR. Heather Shaw Bonilha, PHD CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- PHD CCC-SLP
- Enumeration Date
- Sep 19, 2008
- Last Updated
- Sep 19, 2008
Practice Location
- Address
- 1601 SAINT JULIAN PL
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29204-2407
- Phone
- (803) 777-2614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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