Individual
ASHLEY ROSS BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
11306 SWEET BAY CT, RIVERVIEW, FL 33569-6337
(864) 915-5544
Mailing address
11306 SWEET BAY CT, RIVERVIEW, FL 33569-6337
(864) 915-5544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16526
FL
Other
Enumeration date
09/22/2018
Last updated
09/22/2018
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