Healthcare Provider Details

I. General information

NPI: 1881221133
Provider Name (Legal Business Name): NADANA BENAIN M.S., CCC-SLP, TSSLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 REDBRIDGE LN
APEX NC
27502-2495
US

IV. Provider business mailing address

1815 JOSCARA BND
APEX NC
27502-4476
US

V. Phone/Fax

Practice location:
  • Phone: 919-925-4922
  • Fax:
Mailing address:
  • Phone: 516-582-6357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004972
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: