Lea Ann Bender, MS CCC

Individual provider Active NPI Speech-Language Pathologist · Aberdeen, SD

NPI 1497915656 · NPPES record last updated Jun 11, 2008

Key facts

NPI
1497915656
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
18614-7 (SD)
Practice address
1200 S Jay St
Aberdeen, SD 57401-7155
Phone
(605) 626-3359
Fax
(605) 626-3360
NPI assigned
Jun 11, 2008
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 Science

State licenses

LicenseStateTypeSpecialty
18614-7SDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18614-7 SD Yes

Addresses

Primary practice location

1200 S Jay St
Aberdeen, SD 57401-7155

Mailing address

1200 S Jay St
Aberdeen, SD 57401-7155
Phone (605) 626-3359

Other providers in Aberdeen, SD

All providers in Aberdeen, SD · Speech-Language Pathologist in South Dakota

Sources for this page

Verify at the official NPI Registry.