Individual
JOHNNA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 LAMBORNE BLVD, LOUISVILLE, KY 40272-2505
(502) 935-7284
Mailing address
441 WHITEHEATH LN, LOUISVILLE, KY 40243-1742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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