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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710265400 NPPES
Arizona MEDICAID 628552

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