Bennett, Raven

Bennett, Raven is an sole proprietor health care provider with primary practice located at 477 Windsor St Sw Ste 206 , Atlanta GA 30312-2530. 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, Raven can be contacted via phone (251) 609-1096.

Contact Information

Primary practice address
477 Windsor St Sw Ste 206 Atlanta GA 30312-2530
Phone: (251) 609-1096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 20597 California
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP011363 Georgia

Profile Details

NPI number 1841633054
LBN Legal business name Bennett, Raven
Credentials M.S., CCC-SLP,ABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2013
Last updated Jul 24th, 2023 - about 3 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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