Individual
DANIELLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7795 SW 125TH TER, MIAMI, FL 33156-6035
(305) 975-5877
Mailing address
7795 SW 125TH TER, MIAMI, FL 33156-6035
(305) 975-5877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11857
FL
Other
Enumeration date
09/23/2011
Last updated
03/13/2015
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