MEDICARE: SARAH BENSO

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	:	1902387772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BENSO

Provider Business Mailing Address
First Line	:	8250 DAVIS DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-7895
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 OHIO DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-2720
Country	:	US
Telephone Number	:	214-724-3938
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	08/28/2018

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Directions to “ SARAH BENSO ” Practice Location

Language	Start Address	Practice Location

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