Individual
RACHEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP, IBCLC
Contact information
Practice address
2306 MONTE CRISTO DR, SHERMAN, TX 75092-2322
(512) 228-0088
Mailing address
2306 MONTE CRISTO DR, SHERMAN, TX 75092-2322
(512) 228-0088
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315305
TX
235Z00000X
Speech-Language Pathologist
113916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174N0000X
INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT
—
Enumeration date
10/28/2019
Last updated
07/01/2024
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