Bencomo, Kristen Marie

Bencomo, Kristen Marie is an sole proprietor health care provider with primary practice located at 1525 S Alafaya Trl Suite 101, Orlando FL 32828-8926. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Bencomo, Kristen Marie can be contacted via phone (321) 303-4569.

Contact Information

Primary practice address
1525 S Alafaya Trl Suite 101 Orlando FL 32828-8926
Phone: (321) 303-4569
Fax: (407) 382-5637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ 3383 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1932166097
LBN Legal business name Bencomo, Kristen Marie
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Jun 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932166097 NPPES
Florida MEDICAID 8902925 00

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