Individual
JANET M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
1063 HAYWOOD RD, ASHEVILLE, NC 28806
(828) 285-8814
(828) 285-9144
Mailing address
18 TIMOTHY LN, CANDLER, NC 28715-9406
(828) 285-8814
(828) 285-9144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P2308
NC
225X00000X
Occupational Therapist
11663
NC
235Z00000X
Speech-Language Pathologist
Primary
596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14869
BLUECROSS BLUESHIELF
—
05
—
7411407
—
NC
01
—
C9793
MEDCOST
—
Enumeration date
12/27/2006
Last updated
07/06/2018
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