Individual
BENJAMIN THOMAS CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
1000 TANDAL PL, KNIGHTDALE, NC 27545-8842
(919) 266-7744
Mailing address
312 DACIAN RD APT C, RALEIGH, NC 27610-3568
(207) 208-0503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001632
NC
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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