Bennett, Kathleen E

Bennett, Kathleen E is an individual health care provider with primary practice located at 165 Lancaster St , Portland ME 04101-2406. 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, Kathleen E can be contacted via phone (207) 661-6585.

Contact Information

Primary practice address
165 Lancaster St Portland ME 04101-2406
Phone: (207) 661-6585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X ST3440 Maine

Profile Details

NPI number 1730755844
LBN Legal business name Bennett, Kathleen E
Credentials M.S., CF -SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2021
Last updated May 29th, 2021 - about 5 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 1730755844 NPPES
Maine MEDICAID ST3440

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