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NPI Code Detail

MEDICARE: KATHERINE CROSS BENOIT CCC SLP

MEDICARE:   KATHERINE CROSS BENOIT  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 PathologistSA8458FL
2235Z00000XSpeech-Language Pathologist2202009464VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528133378
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE CROSS BENOIT CCC SLP
Provider Business Mailing Address
First Line : 3800 POPLAR HILL RD STE B
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-5522
Country : US
Telephone Number : 757-776-3088
Fax Number : 757-612-4499
Provider Business Practice Location Address
First Line : 3800 POPLAR HILL RD STE B
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-5522
Country : US
Telephone Number : 757-776-3088
Fax Number : 757-612-4499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 04/19/2021

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Directions to “ KATHERINE CROSS BENOIT CCC SLP” Practice Location

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