Individual
JULIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 23116-3868
(804) 730-0009
Mailing address
9033 VIDETTE LN, MECHANICSVILLE, VA 23116-6571
(540) 230-2155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005609
VA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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