Individual
BENJAMIN MATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
600 S BOIS D ARC ST, FORNEY, TX 75126-9677
(469) 762-4100
Mailing address
600 S BOIS D ARC ST, FORNEY, TX 75126-9677
(330) 620-8383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115732
TX
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
04/05/2017
Last updated
11/07/2022
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