| Doctor Name: | MRS. ANGELA JEAN BENES |
| NPI Number: | 1134445679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., SLP-CCC |
| License Number: | SP16940 |
| Business Practice Address: | 4100 Jurupa St Suite 108 Ontario, CA - 917611420 |
| Business Phone Number: | 9093901313 |
| Business Fax Number: | 9093901311 |
| Mailing Address: | 4100 Jurupa St, Suite 108 ONTARIO |
| State: | CA |
| Postal Code: | 917611420 |
| Phone Number: | 9093901313 |
| Fax Number: | 9093901311 |
| NPI Enumeration Date: | 04/08/2010 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 05/27/2015 |
| NPI Reactivation Date: | 06/24/2015 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP16940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |