Individual
AMY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
642 CONCORD VILLAGE CIR, JOHNSTOWN, OH 43031-9194
(614) 205-9080
Mailing address
145 NORTH QUENTIN ROAD, NEWARK, OH 43055
(614) 205-9080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4106
OH
Other
Enumeration date
01/30/2014
Last updated
05/29/2024
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