Elise Bonilla, MS CCC-SLP

NPI #1871005173 in Austin, Texas

Provider Information

NPI Number
1871005173
Entity Type
Individual
Name
Elise Bonilla, MS CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MS CCC-SLP
Enumeration Date
Oct 27, 2017
Last Updated
Jun 16, 2018

Practice Location

Address
1508 SOUTHPORT DR APT 250
City
Austin
State
Texas
ZIP Code
78704-6806
Phone
(507) 828-2305

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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