ELISE BONILLA MS CCC-SLP
NPI 1871005173
Speech-Language Pathologist in Austin, TX

Active since October 27, 2017
1508 SOUTHPORT DR APT 250, AUSTIN, TX 78704(507) 828-2305 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Oct 27, 2017 (2 updates tracked since 2017).

About Elise Bonilla Ms Ccc-slp NPPES

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

ELISE BONILLA MS CCC-SLP (NPI 1871005173) is an individual speech-language pathologist provider in Austin, Texas, licensed in Texas (110673) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1871005173
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELISE BONILLACredential: MS CCC-SLP
Location Address1508 SOUTHPORT DR APT 250Austin, TX 78704-6806
Mailing Address1508 Southport Dr Apt 250Austin, TX 78704-6806 · (507) 828-2305
Sole ProprietorNo
Enumeration DateOctober 27, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1871005173 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
License Licensed in TX · 110673
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.

1508 SOUTHPORT DR APT 250, Austin, TX 78704

Other Identifiers 1

Other00000000N/a

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871005173, enumerated as an "individual" on October 27, 2017.

The provider is located at 1508 SOUTHPORT DR APT 250 AUSTIN, TX 78704 and the phone number is (507) 828-2305.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.