Individual
AVERY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9608 E 175TH ST S, BIXBY, OK 74008-6431
(214) 240-1349
Mailing address
9608 E 175TH ST S, BIXBY, OK 74008-6431
(214) 240-1349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/03/2024
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