Michelle Lynn Bognanno, M.A., CCC-SLP/L
NPI #1851858880 in Bloomington, Illinois
Provider Information
- NPI Number
- 1851858880
- Entity Type
- Individual
- Name
- Michelle Lynn Bognanno, M.A., CCC-SLP/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC-SLP/L
- Enumeration Date
- Feb 26, 2019
- Last Updated
- Jan 13, 2020
Practice Location
- Address
- 2404 E EMPIRE ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3630
- Phone
- (309) 663-8275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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