Individual
CHAD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 EDELLA RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1628
(570) 586-1002
Mailing address
660 W LENOX CHURCH RD., KINGSLEY, PA 18826-9721
(570) 434-2205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008100
PA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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