Search › Montana › 235Z00000X
Colleen Bonnicksen, M.S. CCC-SLP
NPI 1174951164 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6121 Coburg Ln
Missoula, MT 59803 - Phone
- (499) 933-4152
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
235Z00000X - Licence states on file
- CO, MA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana