Individual
MS. KATHY L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
1617 E BROADWAY, MARYVILLE, TN 37804-2913
(865) 982-8557
(865) 982-8599
Mailing address
1617 E BROADWAY, MARYVILLE, TN 37804-2913
(865) 982-8557
(865) 982-8599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1442
TN
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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