Individual
KATIE HOGAN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 W BIG TRAIL DR, JACKSON, WY 83001-9253
(772) 453-4598
Mailing address
3220 S BEAVERSLIDE DR, JACKSON, WY 83001-9229
(772) 453-4598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1252
WY
Other
Enumeration date
12/10/2020
Last updated
12/15/2025
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