Individual
MRS. BREA ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP, M.S. CCC-SLP
Contact information
Practice address
406 NW 2ND ST, BENTONVILLE, AR 72712-5238
(479) 254-5440
Mailing address
406 NW 2ND ST, BENTONVILLE, AR 72712-5238
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2467
AR
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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