Laura Bennett

Individual provider Active NPI Speech-Language Pathologist · Charleston, WV

NPI 1629909338 · NPPES record last updated May 29, 2026

Key facts

NPI
1629909338
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
200 Elizabeth St
Charleston, WV 25311-2119
Phone
(304) 348-7770
NPI assigned
May 29, 2026
Sex
Unspecified or another gender identity
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

Specialties & licenses

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

Addresses

Primary practice location

200 Elizabeth St
Charleston, WV 25311-2119

Mailing address

4600 Country Club Blvd
South Charleston, WV 25309-2508

Other providers in Charleston, WV

All providers in Charleston, WV · Speech-Language Pathologist in West Virginia

Sources for this page

Verify at the official NPI Registry.