Provider Demographics
NPI:1164880878
Name:BENGIS, LAURA
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:
Last Name:BENGIS
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 1:43B HOCKANUM RD
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9722
Mailing Address - Country:US
Mailing Address - Phone:845-235-2438
Mailing Address - Fax:
Practice Address - Street 1:43B HOCKANUM RD
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9722
Practice Address - Country:US
Practice Address - Phone:845-235-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist