Nicole G. Bennett, M.C.D, CCC-SLP
Speech-Language Pathologist, in Hampton, SC. Individual provider (NPI-1).
NPI number1023062437
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023062437
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole G. Bennett
- Credential
- M.C.D, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 3187 | SC | Yes |
Practice location
500 Barry AveHampton, SC 29924-3810
Phone 803-943-0706
Mailing address
500 Barry AveHampton, SC 29924-3810
Phone 803-943-0706
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