Provider Demographics
NPI:1174958235
Name:SCHAAF, BONNIE LYNN (MS ED)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:LYNN
Last Name:SCHAAF
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MISS
Other - First Name:BONNIE
Other - Middle Name:LYNN
Other - Last Name:QUICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED
Mailing Address - Street 1:445 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5606
Mailing Address - Country:US
Mailing Address - Phone:716-885-8871
Mailing Address - Fax:716-885-0229
Practice Address - Street 1:445 EVANS ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5606
Practice Address - Country:US
Practice Address - Phone:716-885-8871
Practice Address - Fax:716-885-0229
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY753666131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist