Individual
MRS. KIKI TURNER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
117 FOREST TRAIL CT, AIKEN, SC 29805-7895
(803) 642-7873
Mailing address
117 FOREST TRAIL CT, AIKEN, SC 29805-7895
(803) 642-7873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3506
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0600
—
SC
Enumeration date
02/18/2010
Last updated
02/18/2010
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