Bennett, Kassidy
Bennett, Kassidy is an sole proprietor health care provider with primary practice located at 1930 E Southern Ave , Tempe AZ 85282-7518. 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, Kassidy can be contacted via phone (480) 456-0719.Contact Information
Primary practice address
1930 E Southern Ave
Tempe AZ 85282-7518
Phone: (480) 456-0719
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP7360 | Arizona |
Profile Details
| NPI number | 1710265400 |
|---|---|
| LBN Legal business name | Bennett, Kassidy |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2011 |
| Last updated | Jul 19th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710265400 | NPPES |
| Arizona | MEDICAID | 628552 |
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