Provider Demographics
NPI:1558050450
Name:BONNES, ANNIKA (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:ANNIKA
Middle Name:
Last Name:BONNES
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:ANNIKA
Other - Middle Name:
Other - Last Name:MAEHS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:805 ROYAL MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-6364
Mailing Address - Country:US
Mailing Address - Phone:361-960-7570
Mailing Address - Fax:
Practice Address - Street 1:805 ROYAL MEADOW ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-6364
Practice Address - Country:US
Practice Address - Phone:361-960-7570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120222235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist