Individual
MRS. RACHEL MAE BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S., CCC-SLP
Contact information
Practice address
222 W MAIN ST, CECILIA, KY 42724-9702
(270) 862-2808
(270) 862-2454
Mailing address
222 W MAIN ST, CECILIA, KY 42724-9702
(270) 862-2808
(270) 862-2454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2915
KY
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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