Individual
KATHLEEN E BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF -SLP
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 661-6585
Mailing address
48 SCHOOL ST, CORNISH, ME 04020-3213
(207) 229-4531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST3440
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ST3440
—
ME
Enumeration date
05/29/2021
Last updated
05/29/2021
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