MEDICARE: MRS. LINDA JEAN BENNETT

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

General Provider Information

NPI Number	:	1730431354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA JEAN BENNETT

Provider Business Mailing Address
First Line	:	3230 HARTFORD ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-2106
Country	:	US
Telephone Number	:	314-776-6040
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 HARTFORD ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-2106
Country	:	US
Telephone Number	:	314-776-6040
Fax Number	:

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

Provider Enumeration Date	:	10/05/2012
Last Update Date	:	10/05/2012

Similar Medicare Providers

1851614788 — SCOTT M LUTHY RPH
Practice Location Address:

10208 W FLORISSANT AVE
SAINT LOUIS, MO
63136-2106

Practice Phone: 314-930-2185
Practice Fax: 314-930-2186

1659374908 — DR. UDAYSHANKER KASINADHUNI MD
Practice Location Address:

10010 KENNERLY RD
SAINT LOUIS, MO
63128-2106

Practice Phone: 636-386-7222
Practice Fax: 636-200-4036

1174523047 — DR. EDWARD LEE BURNS JR. MD
Practice Location Address:

10010 KENNERLY RD , 3RD FLOOR
SAINT LOUIS, MO
63128-2106

Practice Phone: 314-524-3591
Practice Fax: 314-525-4926

1760475164 — DR. MARK STEGMAN M.D.
Practice Location Address:

10010 KENNERLY RD
SAINT LOUIS, MO
63128-2106

Practice Phone: 314-525-1020
Practice Fax: 314-525-1387

1710971908 — MRS. JUDITH ANNE MORAN C.R.N.A.
Practice Location Address:

10010 KENNERLY RD
SAINT LOUIS, MO
63128-2106

Practice Phone: 636-386-7222
Practice Fax: 636-386-7810

1720073398 — ALVIN R. MANALAYSAY M.D.
Practice Location Address:

10010 KENNERLY RD
SAINT LOUIS, MO
63128-2106

Practice Phone: 636-386-7222
Practice Fax: 636-200-4036

Directions to “ MRS. LINDA JEAN BENNETT ” 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.