Individual
MRS. CRYSTAL BONURA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
Mailing address
39641 RUE YVETTE, PONCHATOULA, LA 70454-6734
(985) 370-1847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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