Bonita Hafer

NPI 1356702518 · on the registry since 2016 · sole proprietor

Practice

Address: 2604 16th Ave
Lewiston, ID 83501
Phone: (208) 799-3460
Organisation at this address: Aria Speech Therapy Services Llc
Idaho Dept Of Health & Welfare Itp Region 2
Idaho Dept Of Health & Welfare Esc Region 2
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 222Q00000X
222Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-01-02

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 Idaho