| Nicole G Bennett, Llc | |
|
500 Barry Ave, Hampton, SC 29924-3810 | |
| (803) 686-0377 | |
| (803) 943-0706 |
| Full Name | Nicole G Bennett, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 500 Barry Ave, Hampton, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891906798 | NPI | - | NPPES |
| GP3833 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3187 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole G Bennett, Llc 500 Barry Avenue, Hampton, SC 29924 Ph: (803) 686-0377 | Nicole G Bennett, Llc 500 Barry Ave, Hampton, SC 29924-3810 Ph: (803) 686-0377 |
Mrs. Nicole G. Bennett, M.C.D, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Barry Ave, Hampton, SC 29924 Phone: 803-943-0706 | |
Dentresa Taylor, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 728 Holly St W, Hampton, SC 29924 Phone: 803-842-9731 | |
Amy Suzanne Fogle Terry, MCD CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 Hoover St S, Hampton, SC 29924 Phone: 803-943-9434 Fax: 803-943-9454 |