Carol Bennett, M.A. CCC
Individual provider Active NPI Speech-Language Pathologist · Jenks, OK
NPI 1033344783 · NPPES record last updated Sep 9, 2015
Key facts
- NPI
- 1033344783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 997 (OK)
- Practice address
- 205 E B St
Jenks, OK 74037-3906 - Phone
- (918) 299-4411
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 997 | OK | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 997 | OK | Yes |
Addresses
Primary practice location
205 E B St
Jenks, OK 74037-3906
Mailing address
205 E B St
Jenks, OK 74037-3906
Phone (918) 299-4411
Other providers in Jenks, OK
- Beair Medical Group, PLLC
- Lordly Beard
- Delany Beasley
- Carly Beets
- Elyssia Shelby Begley
- Stephen Travis Bennett
- Rebecca J. Berman
- Sandeep K Bhatia
- Jayden Victoria Blackwell
- Casey Blair
All providers in Jenks, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.