Individual
DEVON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 BELVIEW RD, LEESVILLE, LA 71446-2904
(337) 239-3401
Mailing address
1209 PORT ARTHUR TER, LEESVILLE, LA 71446-4257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8395
LA
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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