Bennett, Debra Ann

Bennett, Debra Ann is an individual health care provider with primary practice located at 682 W School Bus Ln , Snowflake AZ 85937-5262. 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, Debra Ann can be contacted via phone (928) 536-4156.

Contact Information

Primary practice address
682 W School Bus Ln Snowflake AZ 85937-5262
Fax: (928) 536-4246
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0520 Arizona

Profile Details

NPI number 1649326497
LBN Legal business name Bennett, Debra Ann
Credentials SLP0520
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 9th, 2007 - about 19 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 1649326497 NPPES
Arizona MEDICAID 551996

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