Individual
MARTELL BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP MA-CCC
Contact information
Practice address
951 E BRIGHAM RD, ST GEORGE, UT 84790-8454
(435) 673-1557
Mailing address
951 EAST BRIGHAM ROAD, ST. GEORGE, UT 84790
(435) 673-1557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109875-4102
UT
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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