MEDICARE: MRS. KATIE LYNN BENENATI M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2008021559	MO

General Provider Information

NPI Number	:	1548400096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATIE LYNN BENENATI M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1921 PRATHER AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-3546
Country	:	US
Telephone Number	:	314-645-1202
Fax Number	:	314-645-2618

Provider Business Practice Location Address
First Line	:	1921 PRATHER AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-3546
Country	:	US
Telephone Number	:	314-645-1202
Fax Number	:	314-645-2618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	02/24/2009

Similar Medicare Providers

1093239485 — SAVANNAH SISK OTR/L
Practice Location Address:

1921 PRATHER AVE
SAINT LOUIS, MO
63139-3546

Practice Phone: 314-645-1202
Practice Fax:

1194285957 — MRS. LAUREN ELIZABETH ULLIMAN MOTR/L
Practice Location Address:

1921 PRATHER AVE
SAINT LOUIS, MO
63139-3546

Practice Phone: 314-645-1202
Practice Fax:

1740363142 — LEAN NGUYEN DMD
Practice Location Address:

3546 GRAVOIS AVE
SAINT LOUIS, MO
63118

Practice Phone: 314-773-3666
Practice Fax:

1326474842 — FUNCTION, LLC
Practice Location Address:

3546 DAKOTA AVE S , SUITE B
SAINT LOUIS PARK, MN
55416-2313

Practice Phone: 612-229-0236
Practice Fax:

1235568395 — FUNCTION LLC
Practice Location Address:

3546 DAKOTA AVE S , SUITE B
SAINT LOUIS PARK, MN
55416-2313

Practice Phone: 952-417-6433
Practice Fax:

1629751383 — KATHERINE COFFEY-DIETZ ACUPUNCTURIST
Practice Location Address:

3546 DAKOTA AVE S STE B
SAINT LOUIS PARK, MN
55416-2331

Practice Phone: 952-417-6433
Practice Fax:

Directions to “ MRS. KATIE LYNN BENENATI M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.