Individual
BENITA BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9227 DAYTON GREENVILLE PIKE, BROOKVILLE, OH 45309-9229
(321) 288-2042
Mailing address
9227 DAYTON GREENVILLE PIKE, BROOKVILLE, OH 45309-9229
(321) 288-2042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.7920
OH
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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