Provider Demographics
NPI:1851647275
Name:YEGGE, BONNIE S (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:S
Last Name:YEGGE
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 1:2425 ASPEN RD
Mailing Address - Street 2:#203
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-4093
Mailing Address - Country:US
Mailing Address - Phone:515-290-5992
Mailing Address - Fax:
Practice Address - Street 1:2425 ASPEN ROAD
Practice Address - Street 2:#203
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-4093
Practice Address - Country:US
Practice Address - Phone:515-290-5992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01025235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist