Individual
ANDREW MICHAEL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
2621 W AIRPORT FWY, IRVING, TX 75062-6020
(972) 600-5000
Mailing address
5931 E UNIVERSITY BLVD APT 126, DALLAS, TX 75206-9109
(214) 793-7152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14305307
—
Other
Enumeration date
11/23/2018
Last updated
09/09/2022
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