Bennett, Angela Lilly

Bennett, Angela Lilly is an sole proprietor health care provider with primary practice located at 700B Cromwell Dr , Greenville NC 27858-5852. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bennett, Angela Lilly can be contacted via phone (252) 756-3099.

Contact Information

Primary practice address
700B Cromwell Dr Greenville NC 27858-5852
Fax: (252) 756-0667
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4848 North Carolina

Profile Details

NPI number 1003255027
LBN Legal business name Bennett, Angela Lilly
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2013
Last updated Jun 24th, 2013 - about 13 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 1003255027 NPPES
North Carolina MEDICAID 562047423

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