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NPI Code Detail

MEDICARE: MRS. LINDA JEAN BENNETT

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
1235Z00000XSpeech-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

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Directions to “ MRS. LINDA JEAN BENNETT ” Practice Location

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