Individual
ANDREA P. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8640
(252) 636-5376
Mailing address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8640
(252) 636-5376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6367
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018TE
BLUE CROSS GROUP BILLING NUMBER
NC
Enumeration date
02/14/2007
Last updated
04/23/2008
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