Individual
JOCILYN BENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E WATSON DR, TEMPE, AZ 85283-3143
(480) 897-7122
Mailing address
6941 E OSBORN RD UNIT C, SCOTTSDALE, AZ 85251-6227
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10329
AZ
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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