Individual
MRS. ANGELA SUZANNE BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3585 BRAMBLETON AVE, ROANOKE, VA 24018-6521
(540) 776-1029
Mailing address
3585 BRAMBLETON AVE, ROANOKE, VA 24018
(540) 776-1029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002989
VA
Other
Enumeration date
10/01/2010
Last updated
03/14/2011
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