Provider Demographics
NPI:1962129346
Name:BENDER, MONICA (CF-SLP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BENDER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 KIWANIS ST APT 5
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4763
Mailing Address - Country:US
Mailing Address - Phone:310-809-3083
Mailing Address - Fax:
Practice Address - Street 1:320 KIWANIS ST APT 5
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4763
Practice Address - Country:US
Practice Address - Phone:310-809-3083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist