Annalise Benardo, M.S. CCC-SLP
Speech-Language Pathologist, in Traverse City, MI. Individual provider (NPI-1).
NPI number1508577271
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1508577271
- Entity type
- Individual (NPI-1)
- Name
- Annalise Benardo
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 7152000417 | MI | Yes |
Practice location
5123 N Royal DrTraverse City, MI 49684-9201
Phone 231-929-8383
Mailing address
1813 Lighthouse Ln Apt 301Traverse City, MI 49696-9354
Phone 989-390-1905
Other practice locations
9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Traverse City, MI 49684-7621
Phone 231-932-8453
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All 50 Speech-Language Pathologist providers in Traverse City · All 4,445 providers in Traverse City
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