Doctor Name: | MRS. ILONA BENDERSON |
NPI Number: | 1053683193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | 06818 |
Business Practice Address: | 3407 Olanwood Drive Olney, MD - 208322057 |
Business Phone Number: | 4108024985 |
Business Fax Number: | |
Mailing Address: | 618 Andrew Hill Rd, ARNOLD |
State: | MD |
Postal Code: | 210122057 |
Phone Number: | 4108024985 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2012 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |