Individual
HOLLY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ADAMS CT, WHITELAND, IN 46184-9672
(317) 340-7630
Mailing address
15 ADAMS CT, WHITELAND, IN 46184-9672
(317) 340-7630
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
IN
235Z00000X
Speech-Language Pathologist
Primary
22002891A
IN
Other
Enumeration date
06/12/2023
Last updated
09/18/2023
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