NPI 1114213592 · live from the CMS NPI Registry
Lisa A Bennett, SLP
Speech-Language Pathologist, in Merriam, KS. National Provider Identifier 1114213592, active.
NPI record
| NPI | 1114213592 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 10000 W 75th St, Suite 250, Merriam, KS 66204 |
| Practice phone | 913-894-1910 |
| Mailing address | 1500 E Tall Tree Rd, #38202, Derby, KS 67037 |
| Enumerated | June 23, 2011 |
| Last updated | June 23, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.