Bennett, Stephen

Bennett, Stephen is an individual health care provider with primary practice located at 602 Vonderburg Dr Ste 201 , Brandon FL 33511. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Bennett, Stephen can be contacted via phone (813) 653-1149.

Contact Information

Primary practice address
602 Vonderburg Dr Ste 201 Brandon FL 33511
Phone: (813) 653-1149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ8596 Florida

Profile Details

NPI number 1558855932
LBN Legal business name Bennett, Stephen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Jul 12th, 2018 - about 7 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 1558855932 NPPES
Florida MEDICAID 100114000

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