Jason D Bennett MS-SLP

NPI 1336320258 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1336320258
Gender Male
Enumeration Date 11/19/2007
Last Updated 12/12/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2131 S BUSINESS DR
SHEBOYGAN WI, 53081-5656, US
Phone (920) 803-1617
Fax (920) 803-1622
Business Location
2131 S BUSINESS DR
SHEBOYGAN WI, 53081-5656, US
Phone (920) 803-1617
Fax (920) 803-1622
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 2963-154
Remove 1336320258 NPI Number
 

According to our database, Mr. Jason D Bennett MS-SLP NPI is 1336320258, taxonomy code is 235Z00000X and license number is 2963-154, license state is located at Wisconsin. Jason D Bennett MS-SLP physically located at 2131 S Business Dr, Sheboygan WI, 53081-5656. NPI Number Jason D Bennett MS-SLP has the Individual type.

Sponsored links

1336320258 NPI number is provided on an as is basis without warranty of any kind. 1336320258 is maintained by the National Plan & Provider Enumeration System. The contents of Jason D Bennett MS-SLP are for informational purposes only.