Organization Name: | MARWYN G BENEMERITO |
NPI Number: | 1487764346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARWYN GARIBAY BENEMERITO (OWNER / OCCUPATIONAL THERAPIST) |
Mailing Address: | 146 Timber Creek Dr Suite 101 Cordova |
State: | TN US |
Postal Code: | 380184234 |
Phone Number: | 9013095219 |
Fax Number: | 9013095265 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2379 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
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 |