BONNIE MARIE IDSO MSCCCSLP
NPI 1508183245
Speech-Language Pathologist in Susanville, CA

Active since April 20, 2010
490 S LASSEN ST, SPC #3, SUSANVILLE, CA 96130(510) 409-2032 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie Marie Idso Mscccslp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE MARIE IDSO MSCCCSLP (NPI 1508183245) is an individual speech-language pathologist provider in Susanville, California, licensed in California (SP 10561) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1508183245
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBONNIE MARIE IDSOCredential: MSCCCSLP
Location Address490 S LASSEN ST, SPC #3Susanville, CA 96130-4893
Mailing Address490 S Lassen St, Spc #3Susanville, CA 96130-4893 · (510) 409-2032
Sole ProprietorNo
Enumeration DateApril 20, 2010
Last NPPES UpdateJune 3, 2013
NPI 1508183245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in CA · SP 10561 Licensed in IN · 22004774A
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
490 S LASSEN ST, Susanville, CA 96130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Idso's NPI number?

The NPI number for Bonnie Idso is 1508183245. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Bonnie Idso located?

Bonnie Idso practices at 490 S Lassen St Spc #3, Susanville, CA 96130. The listed phone number is (510) 409-2032.

What is Bonnie Idso's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Bonnie Idso was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.