Provider Demographics
NPI:1174799597
Name:HULSLANDER BALDWIN, BONNIE L (AUD)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:L
Last Name:HULSLANDER BALDWIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 ROUTE 13
Mailing Address - Street 2:OCM BOCES MCEVOY CAMPUS
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045
Mailing Address - Country:US
Mailing Address - Phone:607-758-5248
Mailing Address - Fax:
Practice Address - Street 1:1710 ROUTE 13
Practice Address - Street 2:OCM BOCES MCEVOY CAMPUS
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045
Practice Address - Country:US
Practice Address - Phone:607-758-5248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001636-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist