Individual
MRS. STACY SHELTON BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10608 MOUNTAIN LAUREL WAY, UNION, KY 41091-9077
(859) 209-0944
(919) 294-4500
Mailing address
511 GENTRY LN, HILLSBOROUGH, NC 27278-8857
(859) 209-0944
(919) 294-4500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15093
NC
235Z00000X
Speech-Language Pathologist
Primary
4139
KY
Other
Enumeration date
08/24/2010
Last updated
02/28/2024
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