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NPI Code Detail

MEDICARE: HEIDI ANNE BENSON M.S., CCC-SLP

MEDICARE:   HEIDI ANNE BENSON  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
1235Z00000XSpeech-Language PathologistSLP4460AZ

General Provider Information

NPI Number : 1003989302
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ANNE BENSON M.S., CCC-SLP
Provider Business Mailing Address
First Line : 3221 N 37TH ST UNIT 28
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-6368
Country : US
Telephone Number : 602-293-3833
Fax Number :
Provider Business Practice Location Address
First Line : 3221 N 37TH ST UNIT 28
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-6368
Country : US
Telephone Number : 602-293-3833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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Directions to “ HEIDI ANNE BENSON M.S., CCC-SLP” Practice Location

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