Doctor Name: | KATELYN LEIGH BENNION |
NPI Number: | 1689062382 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ6970 |
Business Practice Address: | 2265 Ne 164th St North Miami Beach, FL - 331603703 |
Business Phone Number: | 3059497665 |
Business Fax Number: | 3059497663 |
Mailing Address: | 2265 Ne 164th St, NORTH MIAMI BEACH |
State: | FL |
Postal Code: | 331603703 |
Phone Number: | 3059497665 |
Fax Number: | 3059497663 |
NPI Enumeration Date: | 01/03/2015 |
NPI Last Update Date: | 01/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ6970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |