Individual
MARY RILEY BENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7401 W BLOOMFIELD RD, PEORIA, AZ 85381-5362
(623) 979-5231
Mailing address
7401 W BLOOMFIELD RD, PEORIA, AZ 85381-5362
(623) 979-5231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0458
AZ
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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