Angela Beth Benson, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lawrenceburg, TN
NPI 1639110893 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1639110893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0000002509 (TN)
- Practice address
- 909 N Locust Ave
Suite 109
Lawrenceburg, TN 38464-2871 - Phone
- (931) 766-6374
- NPI assigned
- Jun 9, 2006
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000002509 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech Language & Learning Center LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0000002509 | TN | Yes |
Addresses
Primary practice location
909 N Locust Ave
Suite 109
Lawrenceburg, TN 38464-2871
Mailing address
100 Springer Dr
Lawrenceburg, TN 38464-3842
Phone (931) 762-3688
Other providers in Lawrenceburg, TN
- Sherry Belew
- William L Bell Jr.
- Thomas Scott Benefield
- Madison Taylor Bennett
- Jenna M Bennicoff
- Gary Van Bentley
- Jamari Bentley
- Frances Ann Berry Brown
- Christian Berry
- Bio-Medical Applications of Tennessee Inc
All providers in Lawrenceburg, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 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.