Doctor Name: | MRS. BETH BENO |
NPI Number: | 1295965754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S./CF-SLP |
License Number: | 3228-154 |
Business Practice Address: | 9632 W Appleton Ave Milwaukee, WI - 532253305 |
Business Phone Number: | 4145356704 |
Business Fax Number: | 4145356952 |
Mailing Address: | 9632 W Appleton Ave, MILWAUKEE |
State: | WI |
Postal Code: | 532253305 |
Phone Number: | 4145356704 |
Fax Number: | 4145356952 |
NPI Enumeration Date: | 07/19/2009 |
NPI Last Update Date: | 07/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3228-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |