Bennett, Janice Leigh Anne

Bennett, Janice Leigh Anne is an sole proprietor health care provider with primary practice located at 1205 Bellevue Ave Suite H, Dublin GA 31021-4155. 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, Janice Leigh Anne can be contacted via phone (478) 272-2100.

Contact Information

Primary practice address
1205 Bellevue Ave Suite H Dublin GA 31021-4155
Fax: (478) 272-2005
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP007724 Georgia

Profile Details

NPI number 1629354568
LBN Legal business name Bennett, Janice Leigh Anne
Credentials M.ED CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2011
Last updated Aug 14th, 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 1629354568 NPPES
Georgia Other 1770843948 NPI GROUP
Georgia MEDICAID 003126629A NPI GROUP

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