Individual
BETH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2177 SWAINS LOCK CT, POINT OF ROCKS, MD 21777-2014
(301) 663-5181
Mailing address
347 BALLENGER CENTER DR, FREDERICK, MD 21703-7095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05447
MD
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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