Individual
BENNET SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54105 MICHELE LN, SHELBY TOWNSHIP, MI 48315-1512
(586) 552-3357
Mailing address
54105 MICHELE LN, SHELBY TOWNSHIP, MI 48315-1512
(586) 552-3357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003860
MI
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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