Provider Demographics
NPI:1598821373
Name:BENDER, RONALD GENE (SLP)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:GENE
Last Name:BENDER
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-4129
Mailing Address - Country:US
Mailing Address - Phone:940-687-3422
Mailing Address - Fax:940-687-0726
Practice Address - Street 1:1921 9TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4129
Practice Address - Country:US
Practice Address - Phone:940-687-3422
Practice Address - Fax:940-687-0726
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11486235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist