Individual
BROOKLYN N BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2450 E GUADALUPE RD, GILBERT, AZ 85234-5116
(480) 506-0016
Mailing address
10122 E OSAGE AVE, MESA, AZ 85212-2362
(480) 740-9536
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA111999
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP11199
AZ
235Z00000X
Speech-Language Pathologist
TSLP11199
AZ
Other
Enumeration date
03/12/2020
Last updated
05/10/2023
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