Individual
JENNIFER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
415 N NICKELPLATE ST, LOUISVILLE, OH 44641-1567
(330) 875-1177
Mailing address
4500 LAKEKNOLL ST, LOUISVILLE, OH 44641-9627
(330) 575-0463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.5466
OH
Other
Enumeration date
02/25/2015
Last updated
02/28/2015
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