Individual
MS. AMY LIANE BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER'S
Contact information
Practice address
3738 E GLADE AVE, MESA, AZ 85206-3232
(480) 507-9272
Mailing address
3738 E GLADE AVE, MESA, AZ 85206-3232
(480) 507-9272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5156
AZ
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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