Provider Demographics
NPI:1871995993
Name:MAYRONNE, BONNIE NIX (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:NIX
Last Name:MAYRONNE
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 1:205 MEADOW WOODS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-7474
Mailing Address - Country:US
Mailing Address - Phone:828-398-8011
Mailing Address - Fax:
Practice Address - Street 1:205 MEADOW WOODS DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7474
Practice Address - Country:US
Practice Address - Phone:828-398-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9638235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist