| Doctor Name: | LISA A BENNETT |
| NPI Number: | 1114213592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | |
| Business Practice Address: | 10000 W 75th St Suite 250 Merriam, KS - 662042209 |
| Business Phone Number: | 9138941910 |
| Business Fax Number: | 9138941174 |
| Mailing Address: | 1500 E Tall Tree Rd, #38202 DERBY |
| State: | KS |
| Postal Code: | 670372099 |
| Phone Number: | 3163085428 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2011 |
| NPI Last Update Date: | 06/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |