Provider Demographics
NPI:1811552714
Name:BONSU, SIKA AKUA
Entity Type:Individual
Prefix:MS
First Name:SIKA
Middle Name:AKUA
Last Name:BONSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4146 VERSAILLES DR UNIT 4146D
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-2286
Mailing Address - Country:US
Mailing Address - Phone:407-808-7173
Mailing Address - Fax:407-635-9320
Practice Address - Street 1:4146 VERSAILLES DR UNIT 4146D
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-2286
Practice Address - Country:US
Practice Address - Phone:407-808-7173
Practice Address - Fax:407-635-9320
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist