Provider Demographics
NPI:1962117275
Name:WESTERMANN, BONNIE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:WESTERMANN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5370 KELLAN WAY
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547-4487
Mailing Address - Country:US
Mailing Address - Phone:720-308-3804
Mailing Address - Fax:
Practice Address - Street 1:5370 KELLAN WAY
Practice Address - Street 2:
Practice Address - City:TIMNATH
Practice Address - State:CO
Practice Address - Zip Code:80547-4487
Practice Address - Country:US
Practice Address - Phone:720-308-3804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist