Individual
ANDIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 DOUGLASS AVE NW, ROANOKE, VA 24012-4611
(540) 853-2468
Mailing address
40 DOUGLASS AVE NW, ROANOKE, VA 24012-4611
(540) 853-2468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004008
VA
Other
Enumeration date
04/13/2018
Last updated
02/26/2024
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