Most Relevant Information
Provider Data
| NPI Number: | 1003550799 |
| Provider Name: | KELSEY RAE BENJAMINSON SLPA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLPA13745 |
Most Important Dates
| Enumeration Date: | 04/27/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
20033 N 19TH AVE STE 121
PHOENIX
AZ
850274251
Practice Location Phone/Fax
| Phone: | 6028755616 |
| Fax: | 6232272030 |
Provider Mailing Location
10222 E KEATS AVE
MESA
AZ
852091264
Provider Mailing Phone/Fax
| Phone: | 4802030811 |
| Fax: |