Provider Demographics
NPI:1093204836
Name:BENSON, DENNELL ELIZABETH
Entity Type:Individual
Prefix:
First Name:DENNELL
Middle Name:ELIZABETH
Last Name:BENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SUBURBAN RD STE 101D
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5581
Mailing Address - Country:US
Mailing Address - Phone:865-769-0283
Mailing Address - Fax:865-769-0281
Practice Address - Street 1:103 SUBURBAN RD STE 101D
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5581
Practice Address - Country:US
Practice Address - Phone:865-769-0283
Practice Address - Fax:865-769-0281
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10070231H00000X
TN2081231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist