CARISSA BENNETT, AUD
Specialist
Active
Individual
NPI: 1104869551
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | AU759 (CA) |
Frequently Asked Questions
NPI 1104869551 is the National Provider Identifier for CARISSA BENNETT, AUD, a Specialist provider located in Los Angeles, CA. This NPI was enumerated on June 14, 2006.
CARISSA BENNETT, AUD practices at 11645 WILSHIRE BLVD, SUITE # 600, Los Angeles, CA 90025.
Quick Facts
- NPI
- 1104869551
- Type
- Individual
- Enumerated
- Jun 14, 2006
- Last Updated
- Jan 28, 2009
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