Provider Demographics
NPI:1659412161
Name:SEAR, BONNIE MARIANNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:MARIANNE
Last Name:SEAR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 GLENMORE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2829
Mailing Address - Country:US
Mailing Address - Phone:516-794-0835
Mailing Address - Fax:
Practice Address - Street 1:1706 GLENMORE AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2829
Practice Address - Country:US
Practice Address - Phone:516-794-0835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008276-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist