Individual
MRS. KATIE LYNN BENENATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1921 PRATHER AVE, SAINT LOUIS, MO 63139-3546
(314) 645-1202
(314) 645-2618
Mailing address
1921 PRATHER AVE, SAINT LOUIS, MO 63139-3546
(314) 645-1202
(314) 645-2618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008021559
MO
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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