Individual
KARL BENISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
219 SMELTER AVE NE APT 3, GREAT FALLS, MT 59404-1967
(360) 325-3662
Mailing address
219 SMELTER AVE NE APT 3, GREAT FALLS, MT 59404-1967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-3076
MT
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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