Individual
EMILY BENNEWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7632 HERSCHEL AVE, LA JOLLA, CA 92037-4403
(858) 479-7768
Mailing address
3333 MONAIR DR, APARTMENT 533, SAN DIEGO, CA 92117-5309
(952) 393-4601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22174
CA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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