Sandra Marie Bennett
Individual provider Active NPI Speech-Language Pathologist · Marshalltown, IA
NPI 1235459173 · NPPES record last updated Jun 2, 2010
Key facts
- NPI
- 1235459173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 00250 (IA)
- Practice address
- 1902 S Center St
Marshalltown, IA 50158-5983 - Phone
- (641) 754-6120
- Fax
- (641) 754-5019
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00250 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00250 | IA | Yes |
Addresses
Primary practice location
1902 S Center St
Marshalltown, IA 50158-5983
Mailing address
1902 S Center St
Marshalltown, IA 50158-5983
Phone (641) 754-6120
Other providers in Marshalltown, IA
- Baylee Beadle
- Joel Alan Beane
- Beverly Bear
- Kristina Lucia Beck
- Claudia J Beckwith
- Brandt Bergman
- John Michael Bergman
- Leah A. Bethel
- Leron Danielle Bierman
- Sarah Bischoff
All providers in Marshalltown, IA · Speech-Language Pathologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2010. 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.