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Contact Information

MIRANDA S BENTLEY, CCC-SLP
300 WINDY HILL DR
LAFAYETTE, IN47905-2862
 Phone: 765-477-7791
 Fax: 765-474-2986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MIRANDA S BENTLEY · (Female)

NPI Number 1912162124
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 07/28/2008
Last updated 07/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 22004533A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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