Search › California › 235Z00000X
Bonnie Idso, MSCCCSLP
NPI 1508183245 · on the registry since 2010
Practice
- Address
- 490 S Lassen St
Spc #3
Susanville, CA 96130 - Phone
- (510) 409-2032
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- IN, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-03
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 California