Individual
LISA A BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(913) 894-1910
(913) 894-1174
Mailing address
1500 E TALL TREE RD, #38202, DERBY, KS 67037-2099
(316) 308-5428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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