Individual
ELIZABETH LAYNE BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC- SLP
Contact information
Practice address
285 HOLMES PITTMAN RD, FOXWORTH, MS 39483-3166
(601) 736-3111
Mailing address
23 BEAVER LAKE RD, PURVIS, MS 39475-3071
(601) 603-1219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
801423098
MS
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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