Rachel Bennos, M .S. SLP-CF
Individual provider Active NPI Speech-Language Pathologist · Justin, TX
NPI 1285986232 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1285986232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 107782 (TX)
- Practice address
- 120 Meadow View Dr
Justin, TX 76247-9639 - Phone
- (940) 648-2731
- NPI assigned
- Oct 15, 2012
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107782 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Sidaris Bennos MD PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 107782 | TX | Yes |
Addresses
Primary practice location
120 Meadow View Dr
Justin, TX 76247-9639
Mailing address
6000 Bay Park CT
Flower Mound, TX 75022-5576
Phone (972) 724-0769
Other providers in Justin, TX
- Kaitlin Barbati
- Barnett Healing Center
- Cynthia Barnett
- Samantha Renee Bates
- Devon Bennett
- Breanna Elizabeth Birdsong
- Avery Blevins
- Elizabeth Ann Boehm
- Susan Boelens
- Jennifer Lynn Brown
All providers in Justin, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. 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.