Provider Demographics
NPI:1376336727
Name:BENNETT, JASMINE (MS)
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:
Last Name:BENNETT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10997 WYANDALE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141-9622
Mailing Address - Country:US
Mailing Address - Phone:716-870-3667
Mailing Address - Fax:
Practice Address - Street 1:267 NEWMAN ST
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141-1525
Practice Address - Country:US
Practice Address - Phone:716-592-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist