Individual
ANNALISE BENARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5123 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 929-8383
Mailing address
1813 LIGHTHOUSE LN APT 301, TRAVERSE CITY, MI 49696-9354
(989) 390-1905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000417
MI
Other
Enumeration date
12/13/2022
Last updated
01/02/2025
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