Individual
DIANA F BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 S TROTTER RD, CLARKSVILLE, MD 21029-1248
(410) 313-7142
Mailing address
833 GLEN ALLEN DR, BALTIMORE, MD 21229-1425
(301) 848-8030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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