Doctor Name: | ELENA BENNARDO |
NPI Number: | 1457751943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CFY-SLP |
License Number: | |
Business Practice Address: | 1550 Jess Parrish Ct Titusville, FL - 327962147 |
Business Phone Number: | 3212692200 |
Business Fax Number: | |
Mailing Address: | 410 E Gore St, ORLANDO |
State: | FL |
Postal Code: | 328061335 |
Phone Number: | 5613063292 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2014 |
NPI Last Update Date: | 09/03/2014 |
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 |