Provider Demographics
NPI:1487798872
Name:BONO, JULIA ROSS (M ED CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ROSS
Last Name:BONO
Suffix:
Gender:F
Credentials:M ED CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 SUSAN DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-9208
Mailing Address - Country:US
Mailing Address - Phone:919-661-9045
Mailing Address - Fax:
Practice Address - Street 1:109 SUSAN DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-9208
Practice Address - Country:US
Practice Address - Phone:919-661-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4043235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist