Provider Demographics
NPI:1467861492
Name:BENOIT, EMILY CHRISTINE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CHRISTINE
Last Name:BENOIT
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-3743
Mailing Address - Country:US
Mailing Address - Phone:479-474-7059
Mailing Address - Fax:479-471-3159
Practice Address - Street 1:9408 GARY ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5655
Practice Address - Country:US
Practice Address - Phone:479-653-2584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3491235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist