NPI 1558094730 · live from the CMS NPI Registry
Martell Bennion, SLP MA-CCC
Speech-Language Pathologist, in St George, UT. National Provider Identifier 1558094730, active.
NPI record
| NPI | 1558094730 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 951 E Brigham Rd, St George, UT 84790 |
| Practice phone | 435-673-1557 |
| Mailing address | 951 East Brigham Road, St. George, UT 84790 |
| Enumerated | July 6, 2022 |
| Last updated | July 6, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 109875-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.