Individual
TAMARA A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU D
Contact information
Practice address
940 JEFFERSON AVE, SCRANTON, PA 18510-1007
(570) 558-2624
(570) 558-2479
Mailing address
940 JEFFERSON AVE., SCRANTON, PA 18510
(570) 558-2624
(570) 558-2479
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT005867
PA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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