Individual
GABRIELLE BENADERET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
6548 HERITAGE, WEST BLOOMFIELD, MI 48322
(615) 715-5111
Mailing address
6548 HERITAGE, WEST BLOOMFIELD, MI 48322
(615) 715-5111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
027409-1
NY
235Z00000X
Speech-Language Pathologist
Primary
7101006425
MI
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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