Organization
IE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA MICHELLE BENEAR M.S. (SPEECH-LANGUAGE PATHOLOGIST)
(405) 606-5768
Entity
Organization
Contact information
Practice address
1909 VICTORIA PL, EDMOND, OK 73003-3865
(405) 606-5768
Mailing address
1909 VICTORIA PL, EDMOND, OK 73003-3865
(405) 606-5768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3032
OK
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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