NPI 1740307669 · live from the CMS NPI Registry
Doreen Kerry Benson
Speech-Language Pathologist, in Petersburg, WV. National Provider Identifier 1740307669, active.
NPI record
| NPI | 1740307669 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 27 Early Ave, Petersburg, WV 26847 |
| Practice phone | 304-257-5560 |
| Mailing address | 609 5th St, Shenandoah, VA 22849 |
| Enumerated | March 24, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 1055 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.