Individual
ELLEN ELIZABETH STONE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
79 CAT MOUSAM RD, KENNEBUNK, ME 04043-6924
(207) 985-3030
Mailing address
28 CLEARVIEW DR, GORHAM, ME 04038-1353
(207) 839-4688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1120
ME
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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