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Individual

MRS. PATRICIA PETRICH BENNETT

Active
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Individual

MRS. PATRICIA PETRICH BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000514L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015858790001
PA
01
1538034
GATEWAY HEALTH PLANS
PA
01
2018822
AETNA INSURANCE (HMO)
01
5665266
AETNA INSURANCE (NON-HMO)
01
601450
PA BLUE SHIELD
PA
01
89566
THREE RIVERS HEALTH PLAN
PA
Enumeration date
09/02/2005
Last updated
07/09/2007
About Stedi
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