Shannon Bennett, CCC-SLP

NPI 1740292465 · on the registry since 2006 · sole proprietor

Practice

Address: 2976 Us Highway 84
Blackshear, GA 31516
Phone: (912) 807-8255
Fax: (912) 807-8256
Organisation at this address: Speech Pathology Associates Of South East Georgia, Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia