Individual
COLEEN MARIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
46 STERLING AVE, TAPPAN, NY 10983-1915
(845) 323-2789
Mailing address
46 STERLING AVENUE., TAPPAN, NY 10983
(845) 323-2789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009601
NY
Other
Enumeration date
12/12/2008
Last updated
10/11/2019
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