Individual
ALLYN CAY BENNEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDCCCSLP
Contact information
Practice address
808 HILLCREST DR, BRADENTON, FL 34209-1846
(941) 807-2863
Mailing address
808 HILLCREST DR, BRADENTON, FL 34209-1846
(941) 807-2863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890440500
—
FL
Enumeration date
11/16/2009
Last updated
11/16/2009
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