Individual
ALEXANDRA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3535 LIVINGSTON RD, INDIAN HEAD, MD 20640-3200
(301) 753-1784
Mailing address
424 SYLVAN ST, ONEIDA, NY 13421-2028
(315) 813-0746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10564
MD
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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