Lauranna Louise Bennett, SLP

Individual provider Active NPI Speech-Language Pathologist · Ridgeland, MS

NPI 1124226154 · NPPES record last updated Jul 11, 2007

Key facts

NPI
1124226154
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S0909 (MS)
Practice address
711 Avignon Dr
Ridgeland, MS 39157-5120
Phone
(601) 605-6777
Fax
(800) 517-6935
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S0909MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S0909 MS Yes

Addresses

Primary practice location

711 Avignon Dr
Ridgeland, MS 39157-5120

Mailing address

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone (601) 605-6777

Other names

  • Lauranna Louise Rice Former name

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.