Provider Demographics
NPI:1841443934
Name:BENZONI, LAUREN BETH (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:BETH
Last Name:BENZONI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 ALBERTSON PKWY
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1204
Mailing Address - Country:US
Mailing Address - Phone:516-659-5369
Mailing Address - Fax:
Practice Address - Street 1:90 ALBERTSON PKWY
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1204
Practice Address - Country:US
Practice Address - Phone:516-659-5369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017429235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist