Individual
AVERY ELISABETH BENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 N QUENTIN RD, NEWARK, OH 43055-4623
(740) 349-6084
Mailing address
3830 S BANK RD NE, MILLERSPORT, OH 43046-8035
(740) 618-3377
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20253166-SP
OH
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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